| NPI | 1225490246 |
|---|---|
| Doing Business As | CULPEPER KIDS DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ALVIN CASTASUS AMANTE Managing Member 206-427-2977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: VA 0401413425) |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2016-03-29 |