| NPI | 1831499714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONYA L MURPHY Office Manager 540-667-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 6373) |
| Additional Taxonomies | 122300000X Dentist (Licence: VA 10907) |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2010-10-26 |