| NPI | 1326464009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE STANG Owner/Orthodontist 540-327-4579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: VA 0401414289) |
| Enumeration Date | 2014-03-05 |
| Last Update Date | 2014-03-05 |