Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Customized Equipment |
332BC3200X | 87 | All Other Suppliers |
| NPI Number | 1841836251 |
| LBN Legal business name | WILLIAMSBURG DENTAL HEALTH CLINIC INC |
| Authorized official | BENTON GRIER - (OFFICE MANAGER) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 11/20/2019 |
| Last updated | 07/02/2020 - About 6 years ago |
| Identifiers | n/a |
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