| NPI | 1467111401 |
|---|---|
| Former Legal Business Name | DRS LAKAS & SHAEFFER D.D.S. INC |
| Entity Type | Organization |
| Authorized Contact | BRIGID MOONEY Manager Dentist 703-522-8894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-12-16 |
| Last Update Date | 2021-12-16 |