Charleston Pediatric Dentistry, P.a.

NPI 1033238589 - Dentist - 1223P0221X

NPI Details
NPI 1033238589
Enumeration Date 03/28/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LISA LISA
Position OFFICE MANAGER
Phone (843) 797-5133
Fax (843) 797-5865
Practice Location
9217 UNIVERSITY BLVD STE 1C
NORTH CHARLESTON SC, 29406-9147, US
Phone (843) 797-5133
Fax (843) 797-5865
Business Location
9217 UNIVERSITY BLVD STE 1C
NORTH CHARLESTON SC, 29406-9147, US
Phone (843) 797-5133
Fax (843) 797-5865
Toxanomy
Taxonomy Code 1223P0221X
License State South Carolina
License Number 2638-0358 SC
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According to our database, Charleston Pediatric Dentistry, P.a. NPI is 1033238589, taxonomy code is 1223P0221X and license number is 2638-0358 SC, license state is located at South Carolina. Charleston Pediatric Dentistry, P.a. physically located at 9217 University Blvd Ste 1c, North Charleston SC, 29406-9147. NPI Number 1033115704 has the healthcare provider type.

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1033238589 NPI number is provided on an as is basis without warranty of any kind. 1033238589 is maintained by the National Plan & Provider Enumeration System. The contents of Charleston Pediatric Dentistry, P.a. are for informational purposes only.