| NPI | 1699955062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM H KINGERY President 703-204-1766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NC 3468 NC) |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2007-11-13 |