| NPI | 1932121688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH LEMUS ANDERSON President 804-285-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: VA 0401003919) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2020-08-22 |