Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 0401410390 | VA |
NPI | 1013914654 |
---|---|
Provider Name | Dr. Frank P Iuorno JR. |
First Address | Glen Allen, VA 23059 |
Second Address | Glen Allen, VA 23059-7072 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2005 |
Last Update Date | 08/07/2007 |