NPI | 1952798357 |
---|---|
Doing Business As | LOWCOUNTRY ORAL AND FACIAL SURGERY |
Entity Type | Organization |
Authorized Contact | FREDERICK M DILLARD Owner 843-410-5766 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: SC 3868) |
Enumeration Date | 2015-04-23 |
Last Update Date | 2015-04-23 |