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Organization

CCOFS ORAL SURGERY I, LLC

Active
Other names
Carolinas Center for Oral & Facial Surgery
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JENNIFER RAYLE HOCK (RCO MANAGER)
(704) 295-4653
Entity
Organization

Contact information

Practice address
280 ROCKY SLOPE RD, GREENVILLE, SC 29607-3908
(864) 751-9972
Mailing address
8738 UNIVERSITY CITY BLVD, CHARLOTTE, NC 28213-3558
(704) 295-4653

Taxonomy

Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary

Other

Enumeration date
07/09/2019
Last updated
07/09/2019
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