| NPI | 1447442637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW WILLIS GLASGOW President/Dentist 540-552-3111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401007032) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2007-08-13 |