Village Dentistry, PA
NPI #1679767073 in Johns Island, South Carolina
Provider Information
- NPI Number
- 1679767073
- Entity Type
- Organization
- Organization Name
- Village Dentistry, PA
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Aug 29, 2007
- Last Updated
- Nov 20, 2007
Practice Location
- Address
- 130 GARDNERS CIR
- Address 2
- PMB#131
- City
- Johns Island
- State
- South Carolina
- ZIP Code
- 29455-5467
- Phone
- (843) 768-8376
Authorized Official
- Name
- DR. ROBERT W HAILE, D.M.D.
- Title
- PRESIDENT
- Phone
- (843) 768-8376
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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