| NPI | 1003087479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAMER L. BOSWELL Dr. 276-628-1327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: VA 004377) |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2008-03-13 |