Edisto Dental Associates of Sc, LLC

NPI #1386891463 in Edisto Island, South Carolina

Provider Information

NPI Number
1386891463
Entity Type
Organization
Organization Name
Edisto Dental Associates of Sc, LLC
Primary Specialty
Exclusive Provider Organization
Enumeration Date
Aug 20, 2008
Last Updated
Aug 20, 2008

Practice Location

Address
51 STATION CT STE C
ZIP Code
29438-3020
Phone
(843) 869-3368

Authorized Official

Name
MRS. JULIE CORLEY
Title
OFFICE MANAGER
Phone
(803) 279-0015

Specialties & Taxonomy Codes

Specialty
Exclusive Provider Organization

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