NPI | 1497931976 |
---|---|
Doing Business As | CAROLINA ORAL & FACIAL SURGERY |
Entity Type | Organization |
Authorized Contact | CONNIE SUE COLEMAN Office Manager 704-892-1198 |
Organization Subpart ? | No |
Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: NC 8525) |
Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery (Licence: NC 5352) |
Enumeration Date | 2008-01-15 |
Last Update Date | 2014-07-03 |