| NPI | 1972988574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS CHRISTOPHER DRAPER Owner 434-832-7008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: VA 0401413646) |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2015-07-23 |