NPI | 1932735305 |
---|---|
Doing Business As | HAMPTON ROADS FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | GWEN G NEWTON Administrator 757-722-8507 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2020-03-18 |
Last Update Date | 2020-03-18 |