| NPI | 1912048828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERNON E. O'BERRY Owner 757-627-1882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 6196) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2020-08-22 |