| NPI | 1871695650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIVAPRASANNA RAI President 540-657-0867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401007933) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2020-08-22 |