| NPI | 1982973954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN DANIEL KIELY Owner/Oral Surgeon 757-207-0138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: VA 0401007303) |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2011-12-21 |