| NPI | 1588965214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEIL ALEXANDER FLENNIKEN President 571-295-5354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 0401411335) |
| Enumeration Date | 2010-11-11 |
| Last Update Date | 2010-11-11 |