| NPI | 1366842148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY EPPARD Orthodontist President 540-825-6064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: VA 0401413487) |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2014-08-28 |