NPI | 1487710349 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGORY R. COX Dentist 540-373-5825 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401007383) |
Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: VA 0401007570) |
Enumeration Date | 2006-12-28 |
Last Update Date | 2020-08-22 |