NPI | 1558540245 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHY HAYES Office COO Rdinator 703-494-9118 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: VA 3048) |
Enumeration Date | 2007-10-30 |
Last Update Date | 2008-06-18 |