MIDLANDS ORAL AND MAXILLOFACIAL SURGERY
Organization (NPI-2)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1386699288- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1755 SAINT JULIAN PL, COLUMBIA, SC, 292042409
- Phone
- (803) 254-2972
- Fax
- (803) 799-2151
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
Primary License: SC #1788