| Patriot Oral And Facial Surgery Pllc | |
|
121 Bulifants Blvd Ste B Williamsburg VA 23188-5736 | |
| (757) 297-6011 | |
| Not Available |
| Full Name | Patriot Oral And Facial Surgery Pllc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 121 Bulifants Blvd Ste B, Williamsburg, Virginia |
| Authorized Official Name and Position | Lori A Washnigton (CREDENTIALING) |
| Authorized Official Contact | 7575958964 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patriot Oral And Facial Surgery Pllc 121 Bulifants Blvd Ste B Williamsburg VA 23188-5736 Ph: () - | Patriot Oral And Facial Surgery Pllc 121 Bulifants Blvd Ste B Williamsburg VA 23188-5736 Ph: (757) 297-6011 |
| NPI Number | 1174093835 |
|---|---|
| Provider Enumeration Date | 11/26/2018 |
| Last Update Date | 11/26/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174093835 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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› Verified 6 days ago
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