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1336761097
SOUTHERN OAK DENTAL, LLC
SUMTER, SC
NPI
1336761097
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Entity Type
Organization
Authorized Contact
FRANK GONG
Owner
206-371-2516
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
Enumeration Date
2020-05-15
Last Update Date
2020-05-15
Business Address
SOUTHERN OAK DENTAL, LLC
1322 BROAD ST UNIT 90
SUMTER, SC 29150-1984
Phone number: 912-856-9698
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Mailing Address
SOUTHERN OAK DENTAL, LLC
4921 CENTRE POINTE DR STE 201
NORTH CHARLESTON, SC 29418-6997
Phone number: 912-856-9698
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