| NPI | 1982007852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM PLASTER President 540-839-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| 1223E0200X Dentist, Endodontics | |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2015-11-02 |