| Carolina Center For Cosmetic And Restorative Dentistry, Llc | |
|
1515 9th Ave Conway SC 29526-4107 | |
| (843) 248-3843 | |
| (843) 248-8802 |
| Full Name | Carolina Center For Cosmetic And Restorative Dentistry, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1515 9th Ave, Conway, South Carolina |
| Authorized Official Name and Position | Jeffrey Wayne Horowitz (OWNER) |
| Authorized Official Contact | 8432483843 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Center For Cosmetic And Restorative Dentistry, Llc 1515 9th Ave Conway SC 29526-4107 Ph: (843) 248-3843 | Carolina Center For Cosmetic And Restorative Dentistry, Llc 1515 9th Ave Conway SC 29526-4107 Ph: (843) 248-3843 |
| NPI Number | 1124238407 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 07/10/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124238407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3112 (South Carolina) | Primary |
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