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Organization
NRV ORAL & MAXILLOFACIAL SURGERY, LTD
Active
Organization
NRV ORAL & MAXILLOFACIAL SURGERY, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLINTON W HOWARD III DMD (SURGEON)
(540) 951-8777
Entity
Organization
Contact information
Practice address
100 PROFESSIONAL PARK DR SE, SUITE 1, BLACKSBURG, VA 24060-6665
(540) 951-8777
(540) 951-9642
Mailing address
100 PROFESSIONAL PARK DR SE, SUITE 1, BLACKSBURG, VA 24060-6665
(540) 951-8777
(540) 951-9642
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
10/16/2006
Last updated
12/01/2009
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