| NPI | 1275040347 |
|---|---|
| Doing Business As | HARLESTON VILLAGE DENTAL EXCELLENCE |
| Entity Type | Organization |
| Authorized Contact | JENNI TOMLINSON Credentialing Coordinator 843-577-5210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2023-10-09 |