| NPI | 1225134752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN CHRISTOPHER ST LOUIS Owner/Dentist 703-385-7177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 7098) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2020-08-22 |