| NPI | 1871881912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN M ROLON Pediodontist 276-739-7942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: VA 0401410901) |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2011-07-11 |