| NPI | 1861913022 |
|---|---|
| Doing Business As | CAROLINAS CENTER FOR ORAL AND FACIAL SURGERY |
| Former Legal Business Name | DRS MISIEK, FARRELL, FARRELL, NALE, COOK, KAPITAN, MOHAMED & FRANCO PA |
| Doing Business As | UPSTATE ORAL & MAXILLOFACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | JENNIFER RAYLE HOCK Director Of Billing 704-295-4653 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2024-08-12 |