| NPI | 1629493754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYMAN K ADEEB Owner 540-535-2006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401413285) |
| Enumeration Date | 2014-02-26 |
| Last Update Date | 2014-02-26 |