| NPI | 1619021540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | A. SCOTT ANDERSON President 1540-989-3639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: VA 5342) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2016-12-12 |