| NPI | 1568167963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHIJIOKE ONYINYECHUKWU ESEONU Guarantor/Owner 804-920-4838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2023-04-04 |
| Last Update Date | 2023-04-04 |