Azalea Dental LLC

NPI #1568678407 in Summerville, South Carolina

Provider Information

NPI Number
1568678407
Entity Type
Organization
Organization Name
Azalea Dental LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
May 15, 2007
Last Updated
Jul 17, 2007

Practice Location

Address
310 N GUM ST STE B
ZIP Code
29483-6874
Phone
(843) 216-9754

Authorized Official

Name
DR. THOMAS PATRICK RILEY, DMD
Title
DENTIST AND OWNER
Phone
(843) 261-9754

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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