| NPI | 1225111578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN THOMAS LANIER Dentist 703-978-1446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: VA 4663) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2020-08-22 |