| NPI | 1972823995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE WILLIAMS Practice Manager 540-437-1230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2023-10-04 |