Smile Center of Knightsville
NPI #1558543249 in Summerville, South Carolina
Provider Information
- NPI Number
- 1558543249
- Entity Type
- Organization
- Organization Name
- Smile Center of Knightsville
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 4, 2007
- Last Updated
- Dec 4, 2007
Practice Location
- Address
- 100 OMALLEY DR
- Address 2
- SUITE B
- City
- Summerville
- State
- South Carolina
- ZIP Code
- 29483-5635
- Phone
- (843) 261-0123
Authorized Official
- Name
- DR. JEANINE ALICIA GOURDINE, D.M.D.
- Title
- OWNER/DENTIST
- Phone
- (843) 261-0123
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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