Beaufort Center for Dentistry LLC

NPI #1699380923 in Beaufort, South Carolina

Provider Information

NPI Number
1699380923
Entity Type
Organization
Organization Name
Beaufort Center for Dentistry LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Sep 14, 2020
Last Updated
Sep 14, 2020

Practice Location

Address
1264 RIBAUT RD STE 401
ZIP Code
29902-6129
Phone
(843) 524-7950

Authorized Official

Name
DR. LOUIS EDWARD COSTA III, DMD
Title
DENTIST
Phone
(843) 524-7950

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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