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 |