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
- City
- Beaufort
- State
- South Carolina
- 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 - Dental — Dental |
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