| NPI | 1962672535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AILIN SHAN President 804-756-6658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401410938) |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2008-03-10 |