Organization
APPOMATTOX RIVER ORAL AND FACIAL SURGERY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT JOHN O'NEILL DDS MD (PRESIDENT)
(804) 732-6532
Entity
Organization
Contact information
Practice address
595 OLD WAGNER RD STE A, PETERSBURG, VA 23805-9307
(804) 732-6532
(804) 861-8070
Mailing address
595 OLD WAGNER RD STE A, PETERSBURG, VA 23805-9307
(804) 732-6532
(804) 861-8070
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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