| NPI | 1902145998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN L ZAUNER Insurance Coordinatior 757-686-3444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: VA 0401413529) |
| Enumeration Date | 2013-02-11 |
| Last Update Date | 2013-02-11 |