LONGBOARD DENTAL LLC

MT PLEASANT, SC
NPI1134837503
Entity TypeOrganization
Authorized ContactELLEN PAULISICK WOLF
Dentist
843-654-1373
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2022-11-14
Last Update Date2022-11-14
Business Address
LONGBOARD DENTAL LLC
405 FAISON ROAD SUIRE A3
MT PLEASANT, SC 29466
Phone number: 843-654-1373
Mailing Address
LONGBOARD DENTAL LLC
405 FAISON ROAD SUIRE A3
MT PLEASANT, SC 29466
Phone number: 843-654-1373
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