| NPI | 1518465939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDDIE SEYMOUR LONGMAN Dentist/Owner 703-549-1331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 0401004117) |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2020-09-08 |