COASTAL KIDS DENTAL & BRACES
Organization (NPI-2)
Active
Dentist, Orthodontics and Dentofacial Orthopedics
Provider Information
- NPI Number
1598154999- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1000 TANNER FORD BLVD STE 370, HANAHAN, SC, 294104707
- Phone
- (843) 818-5437
- Fax
- (843) 725-1594
Specialties & Taxonomies
Dentist, Orthodontics and Dentofacial Orthopedics
License: SC #4209
Dentist, Orthodontics and Dentofacial Orthopedics
Primary License: SC #4476