| NPI | 1245382274 |
|---|---|
| Doing Business As | CENTRAL PARK DENTAL |
| Entity Type | Organization |
| Authorized Contact | ROBERT LEE ZAVISLAK President 540-786-9559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 4018218) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VA 4018811) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |