| NPI | 1144274382 |
|---|---|
| Former Legal Business Name | NELSON MILLER ESCHENROEDER ZOGHBY CYR FERGUSON AND ASSO |
| Entity Type | Organization |
| Authorized Contact | GWEN EVA KENNON Senior Billing Specialist 804-354-1602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: VA 0135583-3) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2019-02-20 |