| NPI | 1982890281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT C FLIKEID Owner 540-347-3396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401007817) |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2007-09-20 |