| NPI | 1205933405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD E WYNKOOP Owner/Endodotontist 703-494-8624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: VA 041007464) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-07-09 |