| NPI | 1033508734 |
|---|---|
| Doing Business As | SUDLEY MANOR DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | WILLIAM B OSSAKOW Owner/Dds 703-862-8577 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2015-01-19 |
| Last Update Date | 2019-06-27 |