| NPI | 1962693051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ALBERT PELL President 703-751-7841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: VA 0401006414) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2011-09-14 |