NPI | 1205173655 |
---|---|
Entity Type | Organization |
Authorized Contact | TRAVIS T. PATTERSON President 703-534-6500 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Enumeration Date | 2013-01-04 |
Last Update Date | 2013-01-04 |