| NPI | 1659782084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN GARRETT Orthodontist 540-667-5446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: VA 0401005203) |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2014-05-20 |