| NPI | 1710179874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STERLING GARY WILLIAMS President 540-667-2997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: VA 4520) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2007-08-13 |