| NPI | 1972638559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA JEANINE CURRY Dentist 757-220-3450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401008935) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2014-04-03 |