| NPI | 1124595475 |
|---|---|
| Doing Business As | GREATER CHARLOTTE ORAL & FACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | JENNIFER HALL Billing Supervisor 704-542-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2018-10-25 |