1724 STATE SUMMERVILLE PROFESSIONAL, LLC
Organization (NPI-2)
Active
Dentist, General Practice
Provider Information
- NPI Number
1730847724- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1724 STATE RD UNIT 4D, SUMMERVILLE, SC, 294862842
- Phone
- (843) 352-4454
- Fax
- (843) 352-4875
Specialties & Taxonomies
Dentist, General Practice
Primary