North Charleston Dental Outreach
NPI #1467212464 in North Charleston, South Carolina
Provider Information
- NPI Number
- 1467212464
- Entity Type
- Organization
- Organization Name
- North Charleston Dental Outreach
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Mar 19, 2024
- Last Updated
- Mar 19, 2024
Practice Location
- Address
- 3625 AZALEA DR
- City
- North Charleston
- State
- South Carolina
- ZIP Code
- 29405-7610
- Phone
- (843) 740-7114
Authorized Official
- Name
- ELIJAH JONATHAN MELENDEZ
- Title
- DEVELOPMENT DIRECTOR
- Phone
- (843) 740-7114
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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