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Organization

DRS FARRELL, FARRELL, NALE, COOK, KAPITAN, MOHAMED, FRANCO, WESSEL, HO

Active
Other names
Carolinas Center For Oral And Facial Surgery, Drs Misiek, Farrell, Farrell, Nale, Cook, Kapitan, Mohamed, Franco PA, Rockcliff Oral and Facial Surgery
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JENNIFER RAYLE HOCK (DIRECTOR OF BILLING)
(704) 295-4653
Entity
Organization

Contact information

Practice address
411 BILLINGSLEY RD, SUITE 105, CHARLOTTE, NC 28211-1066
(704) 347-3900
(704) 347-0133
Mailing address
5550 77 CENTER DR STE 320, CHARLOTTE, NC 28217-0739
(704) 295-4653
(704) 295-4288

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
890328M
NC
05
ZAN993
SC
Enumeration date
05/12/2006
Last updated
03/20/2023
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