| NPI | 1235904202 |
|---|---|
| Doing Business As | PH ORAL & MAXILLOFACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | KRISTI ANN LAWRENCE Director 864-522-8611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-11-20 |
| Last Update Date | 2023-11-20 |