Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | 0401416682 | VA |
NPI | 1528612074 |
---|---|
Provider Name | Dr. Francis Albert Argal Babaran |
First Address | Farmville, VA 23901 |
Second Address | Charlotte Court House, VA 23923 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2019 |
Last Update Date | 01/08/2019 |