| NPI | 1811212103 |
|---|---|
| Doing Business As | COASTAL CAROLINA ORAL AND MAXILLOFACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | BRUCE C ARNE' Secretary 910-762-1555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NC 2174) |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2010-03-30 |