| NPI | 1285296814 |
|---|---|
| Doing Business As | SOUTH RIDING ORAL AND IMPLANT SURGERY |
| Entity Type | Organization |
| Authorized Contact | KAMRAN RAJA Owner 571-218-0878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2019-07-03 |