Viriginia Oral Facial & Implant Surgery

NPI #1588867113 in Mclean, Virginia

Provider Information

NPI Number
1588867113
Entity Type
Organization
Organization Name
Viriginia Oral Facial & Implant Surgery
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Jun 10, 2007
Last Updated
Jul 21, 2008

Practice Location

Address
7601 LEWINSVILLE RD
Address 2
SUITE 203
City
Mclean
ZIP Code
22102-2814
Phone
(703) 388-2805

Authorized Official

Name
DR. MICHAEL TIMOTHY GOCKE, DDS
Title
OWNER
Phone
(703) 388-2805

Specialties & Taxonomy Codes

Specialty
Oral & Maxillofacial Surgery
Plastic Surgery - Plastic Surgery Within the Head and NeckPlastic Surgery Within the Head and Neck
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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