Provider Demographics
NPI:1124481205
Name:WARRENTON ORAL AND FACIAL SURGERY
Entity type:Organization
Organization Name:WARRENTON ORAL AND FACIAL SURGERY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HUY
Authorized Official - Middle Name:C
Authorized Official - Last Name:TRINH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:703-449-8888
Mailing Address - Street 1:225 OAK SPRINGS DR
Mailing Address - Street 2:SUITE 102
Mailing Address - City:WARRENTON
Mailing Address - State:VA
Mailing Address - Zip Code:20186-2187
Mailing Address - Country:US
Mailing Address - Phone:540-347-0274
Mailing Address - Fax:
Practice Address - Street 1:225 OAK SPRINGS DR
Practice Address - Street 2:SUITE 102
Practice Address - City:WARRENTON
Practice Address - State:VA
Practice Address - Zip Code:20186-2187
Practice Address - Country:US
Practice Address - Phone:540-347-0274
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-05
Last Update Date:2016-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401412639261QD0000X
VA0401413939261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental