| NPI | 1942794789 |
|---|---|
| Doing Business As | GREATER CHARLOTTE ORAL & FACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | LESLEY COYNER Credentialing 304-720-7819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2018-06-15 |