| NPI | 1396954830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN M SCHWENDIMAN Owner 703-757-0833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: VA 0401410189) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |