NPI | 1093861395 |
---|---|
Former Legal Business Name | BESNERFABIOBRAMWELL DENTAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | MICHAEL ANTHONY FABIO Vicepresident 703-569-0000 |
Organization Subpart ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics |
Enumeration Date | 2007-01-27 |
Last Update Date | 2020-08-22 |