Organization
AOS N MAIN STREET
Active
Other names
Access Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE BAZZLE (OPERATIONS MANAGER)
(843) 871-0842
Entity
Organization
Contact information
Practice address
907 N MAIN ST, SUMMERVILLE, SC 29483-6632
(843) 871-0842
Mailing address
1971 N MAIN ST, SUMMERVILLE, SC 29486-7890
(843) 871-0842
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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