| NPI | 1457495780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER J MCDONALD President 540-382-6108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401004459) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2020-08-22 |