Coastal Kids Dental & Braces

NPI 1124417522 - Dentist - 1223X0400X

NPI Details
NPI 1124417522
Enumeration Date 01/22/2015
Last Updated 01/22/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name JACOB JACOB
Position COO
Phone (843) 818-5437
Fax (843) 725-1594
Practice Location
8600 DORCHESTER RD
STE 104
NORTH CHARLESTON SC, 29420-7382, US
Phone (843) 818-5437
Fax (843) 725-1594
Business Location
808 WAPPOO RD
CHARLESTON SC, 29407-5865, US
Phone (843) 818-5437
Fax (843) 725-1594
Toxanomy
Taxonomy Code 1223X0400X
License State South Carolina
License Number 4209
Remove 1124417522 NPI Number
 

According to our database, Coastal Kids Dental & Braces NPI is 1124417522, taxonomy code is 1223X0400X and license number is 4209, license state is located at South Carolina. Coastal Kids Dental & Braces physically located at 8600 Dorchester Rd, North Charleston SC, 29420-7382. NPI Number 1033115704 has the healthcare provider type.

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1124417522 NPI number is provided on an as is basis without warranty of any kind. 1124417522 is maintained by the National Plan & Provider Enumeration System. The contents of Coastal Kids Dental & Braces are for informational purposes only.