| Stafford Oral Surgery P.c. | |
|
481 Garrisonville Rd Ste 103 Stafford VA 22554-1601 | |
| (540) 779-0170 | |
| Not Available |
| Full Name | Stafford Oral Surgery P.c. |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 481 Garrisonville Rd Ste 103, Stafford, Virginia |
| Authorized Official Name and Position | Krystal D Flowers (FINANCE COORDINATOR) |
| Authorized Official Contact | 7033041276 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stafford Oral Surgery P.c. 13580 Groupe Dr Ste 305 Woodbridge VA 22192-4165 Ph: (703) 304-1276 | Stafford Oral Surgery P.c. 481 Garrisonville Rd Ste 103 Stafford VA 22554-1601 Ph: (540) 779-0170 |
| NPI Number | 1639788862 |
|---|---|
| Provider Enumeration Date | 07/23/2020 |
| Last Update Date | 07/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639788862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Primary |
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