| NPI | 1932292877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM BLAIR SHERMAN President 703-273-1033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: VA 5026) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |