| NPI | 1972054773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONE C EXUM Dentist/Owner 804-212-2501 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401006994) |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2016-10-18 |