| NPI | 1902077225 |
|---|---|
| Other Name | NONE |
| Entity Type | Organization |
| Authorized Contact | ROBERT O. KENDIG Owner/Pres 804-282-2323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: VA 0401005243) |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2008-03-14 |