NPI | 1871620781 |
---|---|
Entity Type | Organization |
Authorized Contact | DONALD G. TRAWICK President 804-739-5791 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: VA 4721) |
Enumeration Date | 2007-02-27 |
Last Update Date | 2020-08-22 |