| NPI | 1972641561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J. MATTHEW HOGENDOBLER Owner 757-481-7811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401007115) |
| Enumeration Date | 2007-02-03 |
| Last Update Date | 2020-08-22 |