| NPI | 1831476886 |
|---|---|
| Doing Business As | HAMPTON ROADS ORAL AND MAXILLOFACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | RONALD L TANKERSLEY Partner 757-874-6501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2012-04-04 |