Middle Peninsula Oral and Facial Surgery LLC
NPI #1891068417 in Gloucester, Virginia
Provider Information
- NPI Number
- 1891068417
- Entity Type
- Organization
- Organization Name
- Middle Peninsula Oral and Facial Surgery LLC
- Primary Specialty
- Clinic/Center - Oral and Maxillofacial Surgery
- Enumeration Date
- Feb 13, 2012
- Last Updated
- Feb 13, 2012
Practice Location
- Address
- 7547 MEDICAL DR
- City
- Gloucester
- State
- Virginia
- ZIP Code
- 23061-4351
- Phone
- (804) 693-4220
Authorized Official
- Name
- JOHN MORGAN, DDS
- Title
- OWNER/SURGEON
- Phone
- (804) 693-4220
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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