| NPI | 1891119277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAIPING XU Owner 757-495-8775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401006170) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VA 0401410783) |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2014-02-06 |