| NPI | 1215398995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANDA MARIE ASHLEY Owner/Orthodontist 540-885-6815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: VA 0401411133) |
| Enumeration Date | 2016-03-09 |
| Last Update Date | 2016-03-09 |