NPI | 1790432102 |
---|---|
Doing Business As | SHENANDOAH ORAL & FACIAL SURGERY |
Entity Type | Organization |
Authorized Contact | AARON QUITMEYER President 540-433-1751 |
Organization Subpart ? | No |
Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery |
Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Enumeration Date | 2022-03-05 |
Last Update Date | 2022-03-05 |