NPI | 1164631388 |
---|---|
Former Legal Business Name | BRUCE HANLEY, DDS |
Entity Type | Organization |
Authorized Contact | BRUCE HANLEY Owner 703-524-7100 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: VA 0401006818) |
Enumeration Date | 2007-05-22 |
Last Update Date | 2020-08-22 |