| NPI | 1942598677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL D. PFAB Owner 804-639-9622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401007513) |
| Enumeration Date | 2011-07-15 |
| Last Update Date | 2011-07-15 |