| NPI | 1477322493 |
|---|---|
| Doing Business As | VIRIDIAN ORAL AND MAXILLOFACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | GRIFFIN B SONSTEGARD President 252-876-0824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2024-01-02 |
| Last Update Date | 2024-01-02 |