| Dentistry For Children Of South Carolina Pc | |
|
996 Tanner Ford Blvd Hanahan SC 29410-4780 | |
| (843) 818-5437 | |
| Not Available |
| Full Name | Dentistry For Children Of South Carolina Pc |
|---|---|
| Speciality | Dentist |
| Location | 996 Tanner Ford Blvd, Hanahan, South Carolina |
| Authorized Official Name and Position | Tamonia Leonard (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 6782444844 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentistry For Children Of South Carolina Pc 1350 Spring St Nw Ste 600 Atlanta GA 30309-2870 Ph: () - | Dentistry For Children Of South Carolina Pc 996 Tanner Ford Blvd Hanahan SC 29410-4780 Ph: (843) 818-5437 |
| NPI Number | 1063901692 |
|---|---|
| Provider Enumeration Date | 05/09/2018 |
| Last Update Date | 05/09/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063901692 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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