NPI | 1902101652 |
---|---|
Doing Business As | FISCELLA FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | HELEN C FISCELLA Owner 757-253-0400 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: VA 0401410595) |
Enumeration Date | 2011-01-11 |
Last Update Date | 2011-01-11 |