COASTAL ORAL MAXILLOFACIAL SURGERY & IMPLANTS, INC.
Organization (NPI-2)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1982973954- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 5408 DISCOVERY PARK BLVD SUITE 101, WILLIAMSBURG, VA, 231882893
- Phone
- (757) 208-0138
- Fax
- (757) 206-1981
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
Primary License: VA #0401007303