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1952387896
COASTAL CAROLINA FAMILY DENTISTRY, LLC
NORTH CHARLESTON, SC
NPI
1952387896
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Entity Type
Organization
Authorized Contact
CARRIE S NIEMANN
Sole Member
843-760-6565
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2005-12-22
Last Update Date
2023-09-06
Business Address
COASTAL CAROLINA FAMILY DENTISTRY, LLC
8471 RESOLUTE WAY SUITE 104
NORTH CHARLESTON, SC 29420-7381
Phone number: 843-760-6565
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Mailing Address
COASTAL CAROLINA FAMILY DENTISTRY, LLC
8471 RESOLUTE WAY SUITE 104
NORTH CHARLESTON, SC 29420-7381
Phone number: 843-760-6565
Copy
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