| NPI | 1639456486 |
|---|---|
| Doing Business As | CAROLINA ORAL & MAXILLOFACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | DEREK JAMES EATON Owner 704-865-0081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center Oral and Maxillofacial Surgery (Licence: NC 9225) |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2012-08-28 |