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
- State
- South Carolina
- 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 Practice — General Practice |
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| DR. Jennie O Reardon, DMD | |
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