Ingleside Family Dental, LLC

NPI #1174159248 in Ladson, South Carolina

Provider Information

NPI Number
1174159248
Entity Type
Organization
Organization Name
Ingleside Family Dental, LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Mar 20, 2020
Last Updated
Mar 20, 2020

Practice Location

Address
9403 HIGHWAY 78
Address 2
SUITE 201
City
Ladson
ZIP Code
29456
Phone
(845) 702-0581

Authorized Official

Name
MARILYN BETTY MATHEW, D.D.S
Title
OWNER
Phone
(845) 702-0581

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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