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Organization
ORTHOCARE ORAL SURGERY
Active
Organization
ORTHOCARE ORAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FORD SAWYER COOPER DDS (OWNER)
(704) 509-4999
Entity
Organization
Contact information
Practice address
9320 CENTER LAKE DR STE 100, CHARLOTTE, NC 28216-0767
(704) 509-4999
(704) 509-4961
Mailing address
9320 CENTER LAKE DR STE 100, CHARLOTTE, NC 28216-0767
(704) 509-4999
(704) 509-4961
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
04/01/2021
Last updated
04/01/2021
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