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Organization
CHAPIN PEDIATRIC DENTISTRY LLC
Active
Organization
CHAPIN PEDIATRIC DENTISTRY LLC
Active
Other names
Prime Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY BOURGOYNE (OFFICE MANAGER)
(843) 536-9888
Entity
Organization
Contact information
Practice address
192 BROOMSTRAW RD., CHAPIN, SC 29036
(843) 536-9888
Mailing address
2420 HOFFMEYER RD UNIT A, FLORENCE, SC 29501-7426
(843) 536-9888
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
12/08/2023
Last updated
12/08/2023
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