| NPI | 1285672717 |
|---|---|
| Other Name | SOUTHEAST ORAL & MAXILLOFACIAL SURGERY ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | ROBERT DENNIS SWANN Doctor 704-541-3603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: NC 3793) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| 204E00000X Oral & Maxillofacial Surgery (Licence: NC 5881) | |
| 204E00000X Oral & Maxillofacial Surgery (Licence: NC 5962) | |
| 204E00000X Oral & Maxillofacial Surgery (Licence: NC 9535) | |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2023-09-06 |