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Organization
SFD MT. PLEASANT LLC
Active
Organization
SFD MT. PLEASANT LLC
Active
Parent organization
A. FREDERICK SOLOMON DMD P.A.
Organization subpart
Yes
Provider details
NPI number
Legal business name
A. FREDERICK SOLOMON DMD P.A.
Authorized official
ANGELA E BAZZLE (OPERATIONS MANAGER)
(843) 871-0842
Entity
Organization
Contact information
Practice address
3102 N HIGHWAY 17, MOUNT PLEASANT, SC 29466-6925
(843) 871-0842
Mailing address
1971 N MAIN ST, SUMMERVILLE, SC 29486-7890
(843) 871-0842
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
—
NULL
1223P0221X
Pediatric Dentistry
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
10/25/2019
Last updated
02/04/2021
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