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Organization
PORT ROYAL ORAL SURGERY PA
Active
Organization
PORT ROYAL ORAL SURGERY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIMONS HANE JR. DMD (CHAIRMAN)
(843) 729-5409
Entity
Organization
Contact information
Practice address
14 MARSHELLEN DR # B, BEAUFORT, SC 29902-6900
(834) 729-5409
Mailing address
14 MARSHELLEN DR # B, BEAUFORT, SC 29902-6900
(843) 729-5409
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
03964
SC
Other
Enumeration date
05/14/2007
Last updated
08/22/2020
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