| NPI | 1326244567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE BANKER President 703-237-7725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401005773) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2020-08-22 |