| NPI | 1952632291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY L ADAMS Practice Administrator 540-887-3304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: VA 7680) |
| Enumeration Date | 2010-01-27 |
| Last Update Date | 2010-01-27 |