Coastal Kids Dental,pa
NPI #1548659022 in Walterboro, South Carolina
Provider Information
- NPI Number
- 1548659022
- Entity Type
- Organization
- Organization Name
- Coastal Kids Dental,pa
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Jan 21, 2015
- Last Updated
- Jan 21, 2015
Practice Location
- Address
- 118 S WALTER ST
- City
- Walterboro
- State
- South Carolina
- ZIP Code
- 29488-3956
- Phone
- (843) 818-5437
Authorized Official
- Name
- MR. JACOB DRIGGERS
- Title
- COO
- Phone
- (843) 818-5437
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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