NPI | 1144769837 |
---|---|
Doing Business As | ALLEN FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | MARY DISA ALLEN President 540-998-7843 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: VA 0401414341) |
Enumeration Date | 2017-02-15 |
Last Update Date | 2017-02-15 |