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Organization
COSMETIC & FAMILY DENTISTRY PC
Active
Organization
COSMETIC & FAMILY DENTISTRY PC
Active
Other names
John Bradley Palles DMD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN BRADLEY PALLES DMD (PRES OF COSMETIC & FAMILY DENTISTRY)
(843) 554-4545
Entity
Organization
Contact information
Practice address
1224 YEAMANS HALL RD, HANAHAN, SC 29406
(843) 554-4545
(843) 554-4548
Mailing address
1224 YEAMANS HALL RD, HANAHAN, SC 29406
(843) 554-4545
(843) 554-4548
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
003636
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX3636
—
SC
Enumeration date
01/17/2007
Last updated
08/22/2020
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