Southern Charm Pediatric Dentistry
NPI #1073162053 in Indian Land, South Carolina
Provider Information
- NPI Number
- 1073162053
- Entity Type
- Organization
- Organization Name
- Southern Charm Pediatric Dentistry
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Sep 11, 2019
- Last Updated
- Sep 11, 2019
Practice Location
- Address
- 2021 BRIDGEMILL RD.
- Address 2
- SUITE 108
- City
- Indian Land
- State
- South Carolina
- ZIP Code
- 29707-2817
- Phone
- (562) 441-4757
Authorized Official
- Name
- ANGELICA WONG, DDS
- Title
- OWNER
- Phone
- (562) 441-4757
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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