Organization
RIVER FALLS ORAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES C WILSON DMD (PRESIDENT)
(864) 281-9119
Entity
Organization
Contact information
Practice address
700 SQUIRES PT, DUNCAN, SC 29334-8879
(864) 486-8330
Mailing address
700 SQUIRES PT, DUNCAN, SC 29334-8879
(864) 486-8330
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
3194
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z 31948
—
SC
Enumeration date
03/14/2007
Last updated
08/06/2008
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