| NPI | 1912152711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE E MORGAN Owner 757-686-2703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: VA 0401410077) |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2009-11-19 |