Carolina Roots Dentistry LLC
NPI #1750958666 in Indian Land, South Carolina
Provider Information
- NPI Number
- 1750958666
- Entity Type
- Organization
- Organization Name
- Carolina Roots Dentistry LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jun 9, 2021
- Last Updated
- Jun 9, 2021
Practice Location
- Address
- 9905 CALVIN HALL ROAD
- Address 2
- 100
- City
- Indian Land
- State
- South Carolina
- ZIP Code
- 29707
- Phone
- (864) 631-6644
Authorized Official
- Name
- DR. GERRY GEORGE, DMD
- Title
- DENTIST
- Phone
- (864) 631-6644
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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