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Organization
COAFS LAB
Active
Organization
COAFS LAB
Active
Parent organization
CHARLESTON ORAL AND FACIAL SURGERY
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHARLESTON ORAL AND FACIAL SURGERY
Authorized official
DR. EDWARD STRAUSS DMD MD (OWNER)
(843) 762-9028
Entity
Organization
Contact information
Practice address
125 WAPPOO CREEK DR STE C1, CHARLESTON, SC 29412-2161
(843) 762-9028
(843) 762-9030
Mailing address
125 WAPPOO CREEK DR # C, CHARLESTON, SC 29412-2163
(843) 762-9028
(843) 762-9030
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
06/15/2015
Last updated
06/15/2015
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