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Organization
SOUTH CAROLINA ORAL AND FACIAL SURGERY LLC
Active
Organization
SOUTH CAROLINA ORAL AND FACIAL SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON WOOD DMD (SURGEON)
(864) 706-3947
Entity
Organization
Contact information
Practice address
624 FRONT ST, GEORGETOWN, SC 29440-3624
(864) 706-3947
Mailing address
624 FRONT ST, GEORGETOWN, SC 29440-3624
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
04/26/2022
Last updated
04/26/2022
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