| NPI | 1720894629 |
|---|---|
| Doing Business As | HERITAGE DENTAL |
| Entity Type | Organization |
| Authorized Contact | CLARISSA M MOORE Practice Owner 540-373-1660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-12-05 |
| Last Update Date | 2024-12-05 |