| Coafs Lab | |
|
125 Wappoo Creek Dr Ste C1 Charleston SC 29412-2161 | |
| (843) 762-9028 | |
| (843) 762-9030 |
| Full Name | Coafs Lab |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 125 Wappoo Creek Dr Ste C1, Charleston, South Carolina |
| Authorized Official Name and Position | Edward Strauss (OWNER) |
| Authorized Official Contact | 8437629028 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coafs Lab 125 Wappoo Creek Dr # C Charleston SC 29412-2163 Ph: (843) 762-9028 | Coafs Lab 125 Wappoo Creek Dr Ste C1 Charleston SC 29412-2161 Ph: (843) 762-9028 |
| NPI Number | 1679954705 |
|---|---|
| Provider Enumeration Date | 06/15/2015 |
| Last Update Date | 06/15/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679954705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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