| NPI | 1194997155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH MILTON GREENE President Of Corporation 540-433-0075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: VA 0401004641) |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2008-03-31 |