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Organization

ORANGEBURG ORAL SURGERY & IMPLANT CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. AEOLAIN FUNDERBURG (RECEPTIONIST)
(803) 534-5444
Entity
Organization

Contact information

Practice address
1175 COOK RD, STE 135, ORANGEBURG, SC 29118-8201
(803) 534-5444
Mailing address
1175 COOK RD, STE 135, ORANGEBURG, SC 29118-8201

Taxonomy

Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
1223P0106X
SC

Other

Enumeration date
05/23/2007
Last updated
06/30/2008
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