| NPI | 1205934163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADWOA B BAIDOO General Dentist 540-434-2102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401006215) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2022-03-18 |