| NPI | 1922556950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY DAWN SLAUGHTER Practice Administrator 434-973-1222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401412620) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VA 0401412466) |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2016-09-20 |