CENTER FOR ORAL AND MAXILLOFACIAL RECONSTRUCTIVE SURGERY
Organization (NPI-2)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1508166562- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 3001 HOSPITAL DR, CHEVERLY, MD, 207851189
- Phone
- (973) 223-2678
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
License: VA #0401411854
Dentist, Oral and Maxillofacial Surgery
Primary License: MD #14010