| NPI | 1992988232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTY JONES SMITH Office Manager 804-364-8366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: VA 0401410390) |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2007-12-10 |