Charleston Oral Medicine, LLC
NPI #1346925781 in Ladson, South Carolina
Provider Information
- NPI Number
- 1346925781
- Entity Type
- Organization
- Organization Name
- Charleston Oral Medicine, LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jun 21, 2023
- Last Updated
- Jun 21, 2023
Practice Location
- Address
- 3700 INGLESIDE BLVD STE 101
- City
- Ladson
- State
- South Carolina
- ZIP Code
- 29456-4141
- Phone
- (843) 762-9028
Authorized Official
- Name
- MRS. LYNDA TYLER
- Title
- CONTROLLER
- Phone
- (843) 974-5236
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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