Organization · Type 2 NPI

Coafs Lab

Oral and Maxillofacial Surgery (Dentist) · Charleston, SC

NPI number 1679954705 Active

Practice location

125 Wappoo Creek Dr Ste C1
Charleston, SC 29412-2161

Fax (843) 762-9030

Mailing address

125 Wappoo Creek Dr # C
Charleston, SC 29412-2163

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XNone listed

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1679954705

Coafs Lab's National Provider Identifier is 1679954705, issued on Jun 15, 2015. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Charleston, SC. The record was last updated on Jun 15, 2015.