| NPI | 1326259367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES EDWARD HARRIS President 540-951-3989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401005520) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-22 |