Prime Pediatric Dentistry
NPI #1811405400 in Florence, South Carolina
Provider Information
- NPI Number
- 1811405400
- Entity Type
- Organization
- Organization Name
- Prime Pediatric Dentistry
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jan 17, 2018
- Last Updated
- Jan 17, 2018
Practice Location
- Address
- 2420 HOFFMEYER RD UNIT A
- City
- Florence
- State
- South Carolina
- ZIP Code
- 29501-7426
- Phone
- (843) 536-9888
Authorized Official
- Name
- MS. KATHY C BOUROGYNE
- Title
- OFFICE MANAGER
- Phone
- (843) 536-9888
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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