| NPI | 1922552355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BARCLAY DOWLING Managing Physician 800-397-6247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: VA 0401415187) |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2016-08-15 |