NPI | 1861403602 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES H MIDKIFF Dentist Owner President 540-774-0061 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 05136VA) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VA 04203VA) |
Enumeration Date | 2006-08-10 |
Last Update Date | 2023-03-07 |