| Central Carolina Endodontics Pa | |
|
888 Cook Road Orangeburg SC 29118 | |
| (803) 516-0777 | |
| (803) 516-0577 |
| Full Name | Central Carolina Endodontics Pa |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 888 Cook Road, Orangeburg, South Carolina |
| Authorized Official Name and Position | Joseph Davin Bonavilla (PRESIDENT) |
| Authorized Official Contact | 8035160777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Carolina Endodontics Pa 888 Cook Road Orangeburg SC 29118 Ph: (803) 516-0777 | Central Carolina Endodontics Pa 888 Cook Road Orangeburg SC 29118 Ph: (803) 516-0777 |
| NPI Number | 1710442967 |
|---|---|
| Provider Enumeration Date | 02/01/2019 |
| Last Update Date | 02/01/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710442967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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