| NPI | 1629224043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMON WARREN DEARMENT President 540-667-9662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: VA 0401008014) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: VA 0401410567) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: VA 0401005422) | |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2008-08-18 |