| NPI | 1639287741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE SPENCER PUGH President Owner 703-780-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 0401003880) |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2020-08-22 |