| NPI | 1356522510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD M CASEY President 703-938-7773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401008608) |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2007-11-16 |