NPI | 1982096798 |
---|---|
Entity Type | Organization |
Authorized Contact | MOHAMED HASSAN AHMED Business Owner 804-270-9989 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: VA 0401411318) |
Enumeration Date | 2015-03-03 |
Last Update Date | 2024-03-25 |