CHARLESTON PERIODONTICSPA

CHARLESTON, SC
NPI1003955659
Entity TypeOrganization
Authorized ContactJEFFREY J LARO
Periodontist
843-766-7131
Organization Subpart ?No
Primary Taxonomy1223P0300X Dentist, Periodontics
Enumeration Date2007-02-06
Last Update Date2011-05-02
Business Address
CHARLESTON PERIODONTICSPA
1051 GARDNER RD SUITE A
CHARLESTON, SC 29407-5747
Phone number: 843-766-7131
Mailing Address
CHARLESTON PERIODONTICSPA
1051 GARDNER RD SUITE A
CHARLESTON, SC 29407-5747
Phone number: 843-766-7131