| NPI | 1205001518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID B MCGIBBONS Dentist 703-356-5330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401004264) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2008-04-28 |