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Organization
SWEETGRASS ORTHODONTICS LLC
Active
Organization
SWEETGRASS ORTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JING ZHOU DDS, PH.D, MSD (OWNER)
(317) 260-8999
Entity
Organization
Contact information
Practice address
3425 MAYBANK HWY STE B, JOHNS ISLAND, SC 29455-4821
(843) 800-2505
(843) 868-8754
Mailing address
1493 APPLING DR, MOUNT PLEASANT, SC 29464-4688
(317) 260-8999
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
8490
SC
Other
Enumeration date
01/04/2018
Last updated
06/24/2019
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