| NPI | 1992872220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUBLAS R OVERSTREET Partner Doctor Of Dental Science 804-270-7737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2020-08-22 |