NPI | 1518395367 |
---|---|
Entity Type | Organization |
Authorized Contact | RODNEY JOHN KLIMA President 703-425-5125 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: VA 0401004660) |
Enumeration Date | 2013-10-14 |
Last Update Date | 2013-10-16 |