Charleston Oral And Facial Surgery, Inc.

NPI 1043409063 - Dentist - 1223S0112X

NPI Details
NPI 1043409063
Enumeration Date 10/16/2007
Last Updated 10/19/2012
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name EDWARD R EDWARD
Position OWNER
Phone (843) 762-9028
Fax (843) 762-9030
Practice Location
125 WAPPOO CREEK DR
SUITE 1
CHARLESTON SC, 29412-2163, US
Phone (843) 762-9028
Fax (843) 762-9030
Business Location
125C WAPPOO CREEK DR
SUITE 1
CHARLESTON SC, 29412-2163, US
Phone (843) 762-9028
Fax (843) 762-9030
Toxanomy
Taxonomy Code 1223S0112X
License State South Carolina
License Number 4006
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According to our database, Charleston Oral And Facial Surgery, Inc. NPI is 1043409063, taxonomy code is 1223S0112X and license number is 4006, license state is located at South Carolina. Charleston Oral And Facial Surgery, Inc. physically located at 125 Wappoo Creek Dr, Charleston SC, 29412-2163. NPI Number 1033115704 has the healthcare provider type.

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1043409063 NPI number is provided on an as is basis without warranty of any kind. 1043409063 is maintained by the National Plan & Provider Enumeration System. The contents of Charleston Oral And Facial Surgery, Inc. are for informational purposes only.