Organization
MARK C. AUSTIN OMFS, PLLC
Active
Other names
Austin Oral & Maxillofacial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
AMY DAVID (PRACTICE ADMINISTRATOR)
(910) 231-3134
Entity
Organization
Contact information
Practice address
2001 SOUTH BAXTER DRIVE, LELAND, NC 28451
(910) 769-1605
(910) 769-1209
Mailing address
2001 SOUTH BAXTER DR., LELAND, NC 28451
(910) 769-1605
(910) 769-1209
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
7348
NC
Other
Enumeration date
12/02/2013
Last updated
12/02/2013
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