WENTWORTH STREET DENTAL ASSOCIATES, INC

CHARLESTON, SC
NPI1598088312
Entity TypeOrganization
Authorized ContactROGERS CONYERS REEVES
C.E.O.
843-577-2898
Organization Subpart ?No
Primary Taxonomy302R00000X Health Maintenance Organization
(Licence: SC  1547)
Enumeration Date2010-03-08
Last Update Date2010-03-08
Business Address
WENTWORTH STREET DENTAL ASSOCIATES, INC
159 WENTWORTH ST
CHARLESTON, SC 29401-6715
Phone number: 843-577-2898
Mailing Address
WENTWORTH STREET DENTAL ASSOCIATES, INC
159 WENTWORTH ST
CHARLESTON, SC 29401-6715
Phone number: 843-577-2898
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