Indian Land Oral & Facial Surgery LLC

NPI #1942794789 in Fort Mill, South Carolina

Provider Information

NPI Number
1942794789
Entity Type
Organization
Organization Name
Indian Land Oral & Facial Surgery LLC
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Jun 15, 2018
Last Updated
Jun 15, 2018

Practice Location

Address
9787 CHARLOTTE HWY
ZIP Code
29707-8103
Phone
(980) 939-1400

Authorized Official

Name
LESLEY COYNER
Title
CREDENTIALING
Phone
(304) 720-7819

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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