| NPI | 1316314743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LOUIS JONES Owner 276-732-1452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: VA 0401413623) |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2015-09-02 |