| NPI | 1649464520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE M MARROW Office Manager 540-662-4866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA va8921) |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2007-09-04 |