| NPI | 1407013568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HAROLD MORCH President 540-785-2558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: VA 0401006349) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2008-05-16 |