| NPI | 1588805808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRANT M SPRINKLE Dentist 540-389-0330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: VA 0401005779) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: VA 0401003065) |
| Enumeration Date | 2009-03-17 |
| Last Update Date | 2009-03-17 |