| NPI | 1376861088 |
|---|---|
| Doing Business As | VALLEY VILLAGE ORAL SURGERY ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | BETHANY S AWALT Owner 410-581-9008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MD 4876) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MD 14054) |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2024-05-31 |