Medical University of South Carolina
NPI #1639593254 in Charleston, South Carolina
Provider Information
- NPI Number
- 1639593254
- Entity Type
- Organization
- Organization Name
- Medical University of South Carolina
- Primary Specialty
- Dentist - Oral and Maxillofacial Pathology
- Enumeration Date
- Feb 18, 2014
- Last Updated
- Feb 18, 2014
Practice Location
- Address
- 173 ASHLEY AVE
- City
- Charleston
- State
- South Carolina
- ZIP Code
- 29425-8908
- Phone
- (843) 792-4496
Authorized Official
- Name
- THERESA GONZALES, DMD
- Title
- DIRECTOR
- Phone
- (843) 792-4496
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Pathology — Oral and Maxillofacial Pathology |
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