| NPI | 1528650462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEEL PATEL Owner/President/CEO 804-386-8719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery |
| Enumeration Date | 2021-02-10 |
| Last Update Date | 2021-03-04 |