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
- City
- Edisto Island
- State
- South Carolina
- 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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