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 |