| NPI | 1104007384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES T. MCCLUNG President 540-362-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: VA 0401004673) |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2007-11-16 |