| NPI | 1891068417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MORGAN Owner/Surgeon 804-693-4220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: VA 0438000297) |
| Enumeration Date | 2012-02-13 |
| Last Update Date | 2012-02-13 |