Southern Oak Dental Conway, LLC
NPI #1902521396 in Conway, South Carolina
Provider Information
- NPI Number
- 1902521396
- Entity Type
- Organization
- Organization Name
- Southern Oak Dental Conway, LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Oct 7, 2022
- Last Updated
- Oct 7, 2022
Practice Location
- Address
- 2676 CHURCH ST UNIT A
- City
- Conway
- State
- South Carolina
- ZIP Code
- 29526-4471
- Phone
- (843) 733-3387
Authorized Official
- Name
- SABRINA CRUMBY
- Title
- CREDENTIALING
- Phone
- (864) 558-7155
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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