NPI | 1710907134 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIA M SPRADLIN Administrator 703-385-5777 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Enumeration Date | 2006-07-20 |
Last Update Date | 2009-04-27 |