| Ingleside Family Dental, Llc | |
|
9403 Highway 78 Suite 201 Ladson SC 29456 | |
| (845) 702-0581 | |
| Not Available |
| Full Name | Ingleside Family Dental, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9403 Highway 78, Ladson, South Carolina |
| Authorized Official Name and Position | Marilyn Betty Mathew (OWNER) |
| Authorized Official Contact | 8457020581 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ingleside Family Dental, Llc 9403 Highway 78 Suite 201 Ladson SC 29456 Ph: (845) 702-0581 | Ingleside Family Dental, Llc 9403 Highway 78 Suite 201 Ladson SC 29456 Ph: (845) 702-0581 |
| NPI Number | 1174159248 |
|---|---|
| Provider Enumeration Date | 03/20/2020 |
| Last Update Date | 03/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174159248 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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