| NPI | 1346663390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW CALLENDER ROLLER Dentist 540-886-3777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401412172) |
| Enumeration Date | 2014-01-28 |
| Last Update Date | 2014-01-28 |