| NPI | 1093198400 |
|---|---|
| Doing Business As | CAROLINA CENTER FOR ORAL AND MAXILLOFACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | ADAM R BLUMER President 864-574-2011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: SC 8500) |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2015-08-31 |