| NPI | 1194734822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN M DUNEGAN President 540-349-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: VA 0401007571) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2020-08-22 |