| NPI | 1689401176 |
|---|---|
| Doing Business As | FIRST IMPRESSION DENTAL |
| Entity Type | Organization |
| Authorized Contact | CARTER CORNETTE REEVES Owner 571-465-2114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-09-18 |
| Last Update Date | 2024-09-18 |