GOOSE CREEK FAMILY DENTISTRY LLC
Organization (NPI-2)
Active
Dentist, General Practice
Provider Information
- NPI Number
1508004268- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 122 S GOOSE CREEK BLVD SUITE A, GOOSE CREEK, SC, 294453136
- Phone
- (843) 764-3081
- Fax
- (843) 764-4977
Specialties & Taxonomies
Dentist, General Practice
License: SC #4369
Dentist, General Practice
Primary License: SC #1560