| NPI | 1942494364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT D KILGORE Dentist 276-328-5291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401006902) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2007-08-29 |