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1396397501
CCOFS ORAL SURGERY I, LLC
GREENVILLE, SC
NPI
1396397501
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Entity Type
Organization
Authorized Contact
JENNIFER RAYLE HOCK
Rco Manager
704-295-4653
Organization Subpart ?
No
Primary Taxonomy
204E00000X Oral & Maxillofacial Surgery
Enumeration Date
2019-07-09
Last Update Date
2019-07-09
Business Address
CCOFS ORAL SURGERY I, LLC
280 ROCKY SLOPE RD
GREENVILLE, SC 29607-3908
Phone number: 864-751-9972
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Mailing Address
CCOFS ORAL SURGERY I, LLC
8738 UNIVERSITY CITY BLVD
CHARLOTTE, NC 28213-3558
Phone number: 704-295-4653
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