EDISTO DENTAL ASSOCIATES OF SC, LLC

Exclusive Provider Organization

Active Organization
NPI: 1386891463

Practice Address

51 STATION CT STE C
Edisto Island, SC 29438

Phone: (843) 869-3368

Specialties

Specialty Code Primary License
Exclusive Provider Organization 302F00000X Yes 2109 (SC)

Frequently Asked Questions

NPI 1386891463 is the National Provider Identifier for EDISTO DENTAL ASSOCIATES OF SC, LLC, a Exclusive Provider Organization provider located in Edisto Island, SC. This NPI was enumerated on August 20, 2008.

Quick Facts

NPI
1386891463
Type
Organization
Enumerated
Aug 20, 2008
Last Updated
Aug 20, 2008

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