| Dentistry For Children Of S. Carolina Pc | |
|
9217 University Blvd Ste 1c North Charleston SC 29406-9147 | |
| (843) 797-5133 | |
| Not Available |
| Full Name | Dentistry For Children Of S. Carolina Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 9217 University Blvd Ste 1c, North Charleston, South Carolina |
| Authorized Official Name and Position | Tamonia Leonard (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 6782444844 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentistry For Children Of S. Carolina Pc 1350 Spring St Nw Ste 600 Atlanta GA 30309-2870 Ph: () - | Dentistry For Children Of S. Carolina Pc 9217 University Blvd Ste 1c North Charleston SC 29406-9147 Ph: (843) 797-5133 |
| NPI Number | 1598257180 |
|---|---|
| Provider Enumeration Date | 05/31/2018 |
| Last Update Date | 05/31/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598257180 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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