| NPI | 1932483153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL KIMBALL HARTMANN Owner 757-595-8961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2011-10-21 |