| NPI | 1538256714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK EUGENE EGBER President 703-256-2556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 4407) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2020-08-22 |