| NPI | 1437557121 |
|---|---|
| Other Name | GEORGETOWN ORAL & MAXILLOFACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL MCGINNIS Doctor 843-485-4081 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: SC 3273) |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2014-12-11 |