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1437763661
CHARLESTON JAW SURGERY
CHARLESTON, SC
NPI
1437763661
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Entity Type
Organization
Authorized Contact
ROBERT BENNETT
Business Manager
843-853-5859
Organization Subpart ?
Yes
Primary Taxonomy
204E00000X Oral & Maxillofacial Surgery
Enumeration Date
2020-09-04
Last Update Date
2020-09-04
Business Address
CHARLESTON JAW SURGERY
846 ST. ANDREWS BLVD.
CHARLESTON, SC 29407
Phone number: 843-853-5859
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Mailing Address
CHARLESTON JAW SURGERY
846 ST. ANDREWS BLVD.
CHARLESTON, SC 29407
Phone number: 843-853-5859
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