| NPI | 1538359112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDAN JOHN BERNHART President 703-645-8001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: VA 0401410514) |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2007-07-30 |