Organization
PATRIOT ORAL AND FACIAL SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI A WASHNIGTON (CREDENTIALING)
(757) 595-8964
Entity
Organization
Contact information
Practice address
121 BULIFANTS BLVD STE B, WILLIAMSBURG, VA 23188-5736
(757) 297-6011
Mailing address
121 BULIFANTS BLVD STE B, WILLIAMSBURG, VA 23188-5736
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
11/26/2018
Last updated
11/26/2018
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