COASTAL VIRGINIA ORAL AND MAXILLOFACIAL SURGERY, PC
Organization (NPI-2)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1992027676- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 3720 HOLLAND RD SUITE 100, VIRGINIA BEACH, VA, 234522859
- Phone
- (757) 340-0446
- Fax
- (757) 340-2636
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
License: VA #0401006030
Dentist, Oral and Maxillofacial Surgery
License: VA #0401411368
Dentist, Oral and Maxillofacial Surgery
Primary License: VA #0401005985