| NPI | 1881758068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK THOMAS BIRSCH President 757-393-9929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401004057) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2008-05-07 |