| NPI | 1538326517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW LEWIS MOORE Owner 540-659-7515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: VA 041006050) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2008-05-19 |