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Organization

CCOFS ORAL SURGERY 2 LLC

Active
Parent organization
DRS MISIEK, FARRELL, FARRELL, NALE, COOK, KAPITAN, MOHAMED & FRANCO PA
Other names
Carolinas Center for Oral & Facial Surgery
Organization subpart
Yes

Provider details

NPI number
Legal business name
DRS MISIEK, FARRELL, FARRELL, NALE, COOK, KAPITAN, MOHAMED & FRANCO PA
Authorized official
MRS. JENNIFER RAYLE HOCK (DIRECTOR OF BILLING)
(704) 295-4653
Entity
Organization

Contact information

Practice address
4103 E NORTH ST, GREENVILLE, SC 29615-2350
(864) 268-6417
(864) 268-3200
Mailing address
7482 WATERSIDE CROSSING BLVD STE 101, DENVER, NC 28037-3006
(704) 295-4653
(704) 295-4288

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary

Other

Enumeration date
09/09/2020
Last updated
09/09/2020
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