| NPI | 1831527571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES WILLIAM WILLIS Owner/Manager 703-978-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401412646) |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2013-10-16 |