| NPI | 1386818136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA K SMITH Office Manager 540-989-5257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2009-05-27 |