NPI | 1922101393 |
---|---|
Entity Type | Organization |
Authorized Contact | CAMERON M HEYDARI Dentist 540-949-0137 |
Organization Subpart ? | No |
Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: VA 0401410833) |
Enumeration Date | 2006-09-07 |
Last Update Date | 2020-08-22 |