| NPI | 1285806646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN LYNN MYERS Dentist/President 540-381-0515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 0401006856) |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2008-03-26 |