| NPI | 1821284431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER L PASSERO Owner Partners 703-821-4040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: VA 0401005265) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: VA 0401410373) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2008-07-15 |