Dulles Oral Surgical Center
NPI #1992011233 in Chantilly, Virginia
Provider Information
- NPI Number
- 1992011233
- Entity Type
- Organization
- Organization Name
- Dulles Oral Surgical Center
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Aug 24, 2010
- Last Updated
- Aug 24, 2010
Practice Location
Authorized Official
- Name
- EDWARD AUDUBORN LONGWE, DDS
- Title
- DIRECTOR
- Phone
- (703) 327-0955
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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