| NPI | 1578739868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE L STULTZ Financial Coordinator 540-366-8325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401007630) |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2008-05-06 |