| NPI | 1285457879 |
|---|---|
| Doing Business As | REAL LIFE DENTAL |
| Entity Type | Organization |
| Authorized Contact | DAMON THOMPSON Dentist 540-552-5433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-11-04 |
| Last Update Date | 2024-11-05 |