| NPI | 1336461094 |
|---|---|
| Doing Business As | REAL LIFE DENTAL |
| Entity Type | Organization |
| Authorized Contact | DAMON B. THOMPSON Dentist 540-552-5433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 8616) |
| Enumeration Date | 2010-02-23 |
| Last Update Date | 2016-05-06 |