| NPI | 1558370320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MERRITT BRONSON President 703-506-9805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: VA 0401006161) |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2015-02-25 |