UPSTATE ORAL AND MAXILLOFACIAL SURGERY, P.A.
Organization (NPI-2)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1366577389- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 280 NORTH GROVE MEDICAL PARK DR., SPARTANBURG, SC, 293034222
- Phone
- (864) 585-3318
- Fax
- (864) 585-4800
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
License: SC #2143
Dentist, Oral and Maxillofacial Surgery
Primary License: SC #2121