| NPI | 1497941058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | H PATRICK RUSSELL Owner Dentist 540-772-7135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 7391) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2007-09-18 |