BERKELEY ORAL AND MAXILLOFACIAL SURGERY PA
Organization (NPI-2)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1558486845- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 111 SHELLY ST., BONNEAU, SC, 294310280
- Phone
- (843) 825-4131
- Fax
- (843) 825-4136
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
Primary License: SC #3180