Children and Adult Dental LLC
NPI #1053887653 in Irmo, South Carolina
Provider Information
- NPI Number
- 1053887653
- Entity Type
- Organization
- Organization Name
- Children and Adult Dental LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Oct 22, 2018
- Last Updated
- Oct 22, 2018
Practice Location
- Address
- 7210K BROAD RIVER RD
- City
- Irmo
- State
- South Carolina
- ZIP Code
- 29063-7973
- Phone
- (803) 407-2220
Authorized Official
- Name
- TONIA PATTERSON
- Title
- PRACTICE ADMINISTRATOR
- Phone
- (803) 600-7211
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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