| NPI | 1255634788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD ALAN KASPEROWSKI Dentist 703-591-5637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 411416) |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2010-12-06 |