Organization
NORTHEAST ORAL & MAXILLOFACIAL
Active
Other names
GARNERS FERRY ORAL & MAXILLOFACIAL SURGERY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRICIA E. LASSETER (INSURANCE COORDINATOR)
(803) 699-5900
Entity
Organization
Contact information
Practice address
1118 GREENLAWN DR, COLUMBIA, SC 29209-2606
(803) 695-1118
Mailing address
1118 GREENLAWN DR, COLUMBIA, SC 29209-2606
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
—
—
Other
Enumeration date
05/24/2007
Last updated
08/06/2008
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