| River Falls Oral Surgery | |
|
700 Squires Pt Duncan SC 29334-8879 | |
| (864) 486-8330 | |
| Not Available |
| Full Name | River Falls Oral Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Pathology |
| Location | 700 Squires Pt, Duncan, South Carolina |
| Authorized Official Name and Position | James C Wilson (PRESIDENT) |
| Authorized Official Contact | 8642819119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| River Falls Oral Surgery 700 Squires Pt Duncan SC 29334-8879 Ph: (864) 486-8330 | River Falls Oral Surgery 700 Squires Pt Duncan SC 29334-8879 Ph: (864) 486-8330 |
| NPI Number | 1174656540 |
|---|---|
| Provider Enumeration Date | 03/14/2007 |
| Last Update Date | 08/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174656540 | NPI | - | NPPES |
| Z 31948 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0106X | Dentist - Oral And Maxillofacial Pathology | 3194 (South Carolina) | Primary |
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