| NPI | 1952573297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN WORTH LYNN President Owner 804-432-0056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401002896) |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2008-03-27 |