| NPI | 1811020167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES T PLANICKA President 703-734-0515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401004919) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |