| NPI | 1730343435 |
|---|---|
| Doing Business As | OSTEOGNATHIC SURGICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | DWIGHT MCMILLAN Manager 803-531-0750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2018-08-25 |