Ds Dental LLC
NPI #1417422064 in Loris, South Carolina
Provider Information
- NPI Number
- 1417422064
- Entity Type
- Organization
- Organization Name
- Ds Dental LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Oct 10, 2018
- Last Updated
- Oct 10, 2018
Practice Location
- Address
- 4004 BAYBORO ST
- City
- Loris
- State
- South Carolina
- ZIP Code
- 29569-2867
- Phone
- (765) 220-0620
Authorized Official
- Name
- LACEY JANE SPIGUZZA
- Title
- CFO
- Phone
- (765) 220-0620
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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