| NPI | 1881069029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CURTIS GLENN DEAN Dentist 540-432-2315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: VA 0401414053) |
| Enumeration Date | 2015-12-13 |
| Last Update Date | 2019-01-03 |