| NPI | 1629172192 |
|---|---|
| Doing Business As | RICHMOND ORAL & COSMECTIC SURGEONS |
| Entity Type | Organization |
| Authorized Contact | TRICIA T BLAKE Practice Manager 804-379-7120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2019-03-18 |