Organization
CAROLINA OMS ASSOCIATES, LLC
Active
Other names
SURFSIDE IMPLANT & ORAL SURGERY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN E HUDSON (CONSULTANT)
(910) 793-9545
Entity
Organization
Contact information
Practice address
1003 OLDE WATERFORD WAY STE 1A, LELAND, NC 28451-4168
(910) 793-9545
(910) 397-0366
Mailing address
PO BOX 15349, WILMINGTON, NC 28408-5349
(910) 793-9545
(910) 397-0366
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
8366
NC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
8366
NC
Other
Enumeration date
09/16/2010
Last updated
09/16/2010
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