| NPI | 1912113119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS JOHN O'HARA Dentist 757-340-1153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 7243) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2008-08-19 |