| Southern Charm Pediatric Dentistry | |
|
2021 Bridgemill Rd. Suite 108 Indian Land SC 29707-2817 | |
| (562) 441-4757 | |
| Not Available |
| Full Name | Southern Charm Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2021 Bridgemill Rd., Indian Land, South Carolina |
| Authorized Official Name and Position | Angelica Wong (OWNER) |
| Authorized Official Contact | 5624414757 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Charm Pediatric Dentistry 1305 Waynewood Dr Waxhaw NC 28173-6907 Ph: (562) 441-4757 | Southern Charm Pediatric Dentistry 2021 Bridgemill Rd. Suite 108 Indian Land SC 29707-2817 Ph: (562) 441-4757 |
| NPI Number | 1073162053 |
|---|---|
| Provider Enumeration Date | 09/11/2019 |
| Last Update Date | 09/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073162053 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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