NPI | 1427508845 |
---|---|
Doing Business As | STONE RIDGE FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | THERESA FLORES Office Manager 703-327-0190 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: VA 040141211) |
Enumeration Date | 2016-10-10 |
Last Update Date | 2016-10-10 |