COASTAL CAROLINA FAMILY DENTISTRY, LLC

NORTH CHARLESTON, SC
NPI1952387896
Entity TypeOrganization
Authorized ContactCARRIE S NIEMANN
Sole Member
843-760-6565
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2005-12-22
Last Update Date2023-09-06
Business Address
COASTAL CAROLINA FAMILY DENTISTRY, LLC
8471 RESOLUTE WAY SUITE 104
NORTH CHARLESTON, SC 29420-7381
Phone number: 843-760-6565
Mailing Address
COASTAL CAROLINA FAMILY DENTISTRY, LLC
8471 RESOLUTE WAY SUITE 104
NORTH CHARLESTON, SC 29420-7381
Phone number: 843-760-6565