NPI | 1639577281 |
---|---|
Entity Type | Organization |
Authorized Contact | PEGGY LOVECCHIO Dentist 540-904-2300 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401412041) |
Enumeration Date | 2014-12-15 |
Last Update Date | 2014-12-15 |