| NPI | 1346054467 |
|---|---|
| Doing Business As | CHILDREN'S PLASTIC AND MAXILLOFACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | KATHRYN J ABSHIRE Senior VP/CFO 757-668-8565 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2025-02-07 |
| Last Update Date | 2025-02-07 |