Aqua Dental Corp
NPI #1134644677 in Taylors, South Carolina
Provider Information
- NPI Number
- 1134644677
- Entity Type
- Organization
- Organization Name
- Aqua Dental Corp
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Aug 5, 2017
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 2801 WADE HAMPTON BLVD STE 118
- City
- Taylors
- State
- South Carolina
- ZIP Code
- 29687-2758
- Phone
- (864) 292-6050
Authorized Official
- Name
- MARIA NUNEZ
- Title
- OFFICER
- Phone
- (864) 292-6050
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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