| NPI | 1649290560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROME A COVEL President 703-938-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401007703) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2020-08-22 |