| NPI | 1437320371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIA TURNER Manager 540-992-3420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401006328) |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2008-03-19 |