NPI | 1114111747 |
---|---|
Entity Type | Organization |
Authorized Contact | RONALD CLAUDE DAVIS Owner Dentist 540-908-0651 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: VA 0401008683) |
Enumeration Date | 2007-08-27 |
Last Update Date | 2007-08-27 |