Charleston Pediatric Dentistry, P.a.
NPI #1033238589 in North Charleston, South Carolina
Provider Information
- NPI Number
- 1033238589
- Entity Type
- Organization
- Organization Name
- Charleston Pediatric Dentistry, P.a.
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Mar 28, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 9217 UNIVERSITY BLVD STE 1C
- City
- North Charleston
- State
- South Carolina
- ZIP Code
- 29406-9147
- Phone
- (843) 797-5133
Authorized Official
- Name
- LISA BODIFORD
- Title
- OFFICE MANAGER
- Phone
- (843) 797-5133
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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