| NPI | 1497940530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD FLOYD REYNOLDS President 703-960-8670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 3417) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2007-09-12 |