| NPI | 1336333434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN MICHAEL BAILEY Surgeon Oral And Maxillofacial 540-710-8880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: VA 0438000230) |
| Additional Taxonomies | 122300000X Dentist (Licence: VA 0401411755) |
| 204E00000X Oral & Maxillofacial Surgery (Licence: VA 0101242293) | |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2008-10-01 |