NPI | 1144302274 |
---|---|
Entity Type | Organization |
Authorized Contact | GROVER PRESTON BURNS President 540-373-6557 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401004384) |
Enumeration Date | 2006-10-19 |
Last Update Date | 2020-08-22 |