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1326166240
MUSCDENTAL FACULTY PRACTICE
CHARLESTON, SC
NPI
1326166240
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Entity Type
Organization
Authorized Contact
PHILIP J. BLACKLOCKE
Business Manager
843-792-8330
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2007-03-27
Last Update Date
2020-08-22
Business Address
MUSCDENTAL FACULTY PRACTICE
173 ASHLEY AVE BSB 346
CHARLESTON, SC 29425-0001
Phone number: 843-792-3444
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Mailing Address
MUSCDENTAL FACULTY PRACTICE
173 ASHLEY AVE BSB 346
CHARLESTON, SC 29425-0001
Phone number: 843-792-3444
Copy
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