| NPI | 1184069247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARTER REEVES Dentist 703-473-7002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401412858) |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2013-05-02 |