Park Circle Orthodontics, Llc | |
4831 Mixson Ave Ste 104 North Charleston SC 29405-4567 | |
(843) 874-3136 | |
Not Available |
Full Name | Park Circle Orthodontics, Llc |
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Speciality | Clinic/center - Dental |
Location | 4831 Mixson Ave Ste 104, North Charleston, South Carolina |
Authorized Official Name and Position | Christopher Von Bargen (OWNER) |
Authorized Official Contact | 5852617414 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Park Circle Orthodontics, Llc 4831 Mixson Ave Ste 104 North Charleston SC 29405-4567 Ph: (843) 874-3136 | Park Circle Orthodontics, Llc 4831 Mixson Ave Ste 104 North Charleston SC 29405-4567 Ph: (843) 874-3136 |
NPI Number | 1851090575 |
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Provider Enumeration Date | 03/02/2023 |
Last Update Date | 03/02/2023 |
Identifier | Type | State | Issuer |
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1851090575 | NPI | - | NPPES |
NONE | Other | NONE |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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