Southern Oak Dental, LLC
NPI #1497225916 in Conway, South Carolina
Provider Information
- NPI Number
- 1497225916
- Entity Type
- Organization
- Organization Name
- Southern Oak Dental, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 27, 2018
- Last Updated
- Jan 30, 2020
Practice Location
- Address
- 2676 CHURCH ST UNIT A
- City
- Conway
- State
- South Carolina
- ZIP Code
- 29526-4471
- Phone
- (843) 331-3237
Authorized Official
- Name
- MR. FRANK GONG
- Title
- OWNER
- Phone
- (206) 371-2516
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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