Organization
COMMONWEALTH ORAL & FACIAL SURGERY, PC
Active
Other names
Nelson Miller Eschenroeder Zoghby Cyr Ferguson and Asso
Organization subpart
No
Provider details
NPI number
Authorized official
GWEN EVA KENNON (SENIOR BILLING SPECIALIST)
(804) 354-1602
Entity
Organization
Contact information
Practice address
8503 PATTERSON AVE, SUITE B, RICHMOND, VA 23229-6442
(804) 354-1600
(804) 354-1607
Mailing address
PO BOX 71930, RICHMOND, VA 23255-1930
(804) 354-1600
(804) 354-1607
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0135583-3
VA
Other
Enumeration date
05/20/2006
Last updated
02/20/2019
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