| NPI | 1689875536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMIAH N. PARTRICK, JR President 703-522-6111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401008738) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2020-08-22 |