NPI | 1891969135 |
---|---|
Entity Type | Organization |
Authorized Contact | CHERYL L DAOULAS Financial Coordinator 804-414-0713 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2008-04-17 |
Last Update Date | 2008-04-17 |