| NPI | 1508532730 |
|---|---|
| Doing Business As | AV DENTAL OF WOODRIDGE PC |
| Entity Type | Organization |
| Authorized Contact | JEFFERY SAFFOLD Owner 815-210-3030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2021-08-18 |
| Last Update Date | 2021-08-18 |