| Advanced Oral & Facial Specialist | |
|
20 Tea Olive Ct Aiken SC 29803-4715 | |
| (803) 648-0056 | |
| (803) 648-0057 |
| Full Name | Advanced Oral & Facial Specialist |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 20 Tea Olive Ct, Aiken, South Carolina |
| Authorized Official Name and Position | Margie Cervantes (ADMINISTRATION) |
| Authorized Official Contact | 8036480056 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Oral & Facial Specialist 20 Tea Olive Ct Aiken SC 29803-4715 Ph: (803) 648-0056 | Advanced Oral & Facial Specialist 20 Tea Olive Ct Aiken SC 29803-4715 Ph: (803) 648-0056 |
| NPI Number | 1881138535 |
|---|---|
| Provider Enumeration Date | 12/15/2016 |
| Last Update Date | 12/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881138535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 6955 (South Carolina) | Primary |
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