| NPI | 1891440103 |
|---|---|
| Other Name | CENTRAL VIRGINIA DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | MATTHEW W STAFFORD Dentist 804-337-6884 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2022-02-15 |
| Last Update Date | 2022-02-15 |