| NPI | 1538338959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD L SIMPSON II President 540-825-2444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 611627837) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VA 0401008061) |
| 1223G0001X Dentist, General Practice (Licence: VA 0401411342) | |
| 1223G0001X Dentist, General Practice (Licence: VA 0401411079) | |
| 1223G0001X Dentist, General Practice (Licence: VA 0401003855) | |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2011-11-29 |