| 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 |