| NPI | 1235424557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN C BROWN President 540-374-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2011-07-11 |