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1902019722
SOUTHEAST ENDODONTICS, PC
CHARLESTON, SC
NPI
1902019722
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Entity Type
Organization
Authorized Contact
WALTER R. LONG
Owner
843-766-0112
Organization Subpart ?
No
Primary Taxonomy
1223E0200X Dentist, Endodontics
(Licence: SC 3707)
Enumeration Date
2007-05-08
Last Update Date
2020-08-22
Business Address
SOUTHEAST ENDODONTICS, PC
10 FARMFIELD AVE
CHARLESTON, SC 29407-7756
Phone number: 843-766-0112
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Mailing Address
SOUTHEAST ENDODONTICS, PC
10 E FARMFIELD AVENUE
CHARLESTON, SC 29407
Phone number: 843-766-0112
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