Organization · Type 2 NPI
South Riding Oral and Implant Surgery
Oral and Maxillofacial Surgery (Dentist) · Chantilly, VA
Practice location
24805 Pinebrook Rd # 318
Chantilly, VA 20152-4126
Mailing address
9209 Marovelli Forest Dr
Lorton, VA 22079-3456
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | None listed |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Other oral and maxillofacial surgery (dentist) providers in Chantilly
About NPI 1285296814
South Riding Oral and Implant Surgery's National Provider Identifier is 1285296814, issued on Jul 3, 2019. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Chantilly, VA. The record was last updated on Jul 3, 2019.