| NPI | 1962754622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH MARIE DOWDY President 804-285-8609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401412537) |
| Enumeration Date | 2012-10-04 |
| Last Update Date | 2012-10-04 |