| NPI | 1356714331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE P SHEWMAKER Dentist/Owner 703-385-6960 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401005882) |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2015-11-12 |