| NPI | 1487027355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN MICHAEL SHEARER Dentist/Owner 540-347-2233 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401412481) |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2015-11-02 |