| NPI | 1063929057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA MARIA BOGGS Dentist 540-432-6979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: VA 0401006972) |
| Enumeration Date | 2017-12-29 |
| Last Update Date | 2017-12-29 |