Beaufort Orthodontics Llc

NPI 1396829693 - Dentist - 1223X0400X

NPI Details
NPI 1396829693
Enumeration Date 10/24/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name A G A
Position MANAGING MEMBER
Phone (843) 986-9339
Fax (843) 524-4468
Practice Location
960 RIBAUT RD
SUITE 2
BEAUFORT SC, 29902-5431, US
Phone (843) 986-9339
Fax (843) 524-4468
Business Location
960 RIBAUT RD
SUITE 2
BEAUFORT SC, 29902-5431, US
Phone (843) 986-9339
Fax (843) 524-4468
Toxanomy
Taxonomy Code 1223X0400X
License State South Carolina
License Number 3628
Remove 1396829693 NPI Number
 

According to our database, Beaufort Orthodontics Llc NPI is 1396829693, taxonomy code is 1223X0400X and license number is 3628, license state is located at South Carolina. Beaufort Orthodontics Llc physically located at 960 Ribaut Rd, Beaufort SC, 29902-5431. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1396829693 NPI number is provided on an as is basis without warranty of any kind. 1396829693 is maintained by the National Plan & Provider Enumeration System. The contents of Beaufort Orthodontics Llc are for informational purposes only.