| NPI | 1891976148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE D SHELL Office Manager 540-774-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: VA 0401005671) |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2008-03-11 |