| NPI | 1689224495 |
|---|---|
| Doing Business As | SHORELINE ORAL AND FACIAL SURGERY ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | GRAHAM H WILSON Owner Majority 910-386-5003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2025-05-27 |