Organization
COASTAL VIRGINIA ORAL AND MAXILLOFACIAL SURGERY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL FRANK MAUGERI JR. DDS (PRESIDENT)
(757) 340-0446
Entity
Organization
Contact information
Practice address
3720 HOLLAND RD, SUITE 100, VIRGINIA BEACH, VA 23452-2859
(757) 340-0446
(757) 340-2636
Mailing address
3720 HOLLAND RD, SUITE 100, VIRGINIA BEACH, VA 23452-2859
(757) 340-0446
(757) 340-2636
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0401005985
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
0401006030
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
0401411368
VA
Other
Enumeration date
02/22/2010
Last updated
02/22/2010
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