Coastal Kids Dental
NPI #1659693695 in Hanahan, South Carolina
Provider Information
- NPI Number
- 1659693695
- Entity Type
- Organization
- Organization Name
- Coastal Kids Dental
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Feb 18, 2010
- Last Updated
- Feb 18, 2010
Practice Location
- Address
- 1000 TANNER FORD BLVD
- Address 2
- SUITE 370
- City
- Hanahan
- State
- South Carolina
- ZIP Code
- 29410-4707
- Phone
- (843) 818-5437
Authorized Official
- Name
- MR. JACOB G DRIGGERS
- Title
- DIRECTOR OF OPERATIONS
- Phone
- (843) 818-4537
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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