| NPI | 1215150065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY W GELDART President 540-338-3186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401006764) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2012-01-17 |