| NPI | 1124121082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH MICHAEL CUMMISKEY Dentist 540-574-5210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: VA 0401005632) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2020-08-22 |