| NPI | 1154491686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT VINCENT KINNEY President 540-989-3321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401006230) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-08-22 |