| NPI | 1407067473 |
|---|---|
| Other Name | GARNERS FERRY ORAL & MAXILLOFACIAL SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | TRICIA E. LASSETER Insurance Coordinator 803-699-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2008-08-06 |