NORTHEAST ORAL & MAXILLOFACIAL SURGERY CENTER
Organization (NPI-2)
Active
Dentist, Oral and Maxillofacial Pathology
Provider Information
- NPI Number
1700916822- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 9310 TWO NOTCH RD, COLUMBIA, SC, 292236416
- Phone
- (803) 699-5900
- Fax
- (803) 788-9036
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Pathology
Primary License: SC #3160