| NPI | 1992027676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL FRANK MAUGERI President 757-340-0446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: VA 0401005985) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: VA 0401006030) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: VA 0401411368) | |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2010-02-22 |