NPI | 1710295175 |
---|---|
Entity Type | Organization |
Authorized Contact | DENNIS CARLOS DA PONTE Sole Proprietor 540-432-5577 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104556737) |
Enumeration Date | 2010-09-20 |
Last Update Date | 2010-09-20 |