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Organization
COMPREHENSIVE DENTISTRY FOR ADULTS INC
Active
Organization
COMPREHENSIVE DENTISTRY FOR ADULTS INC
Active
Parent organization
17131
Other names
Comprehensive Dentistry for Adults
Organization subpart
Yes
Provider details
NPI number
Legal business name
17131
Authorized official
JAMES C LESCH DDS (DENTIST/ OWNER)
(843) 556-9939
Entity
Organization
Contact information
Practice address
1470 TOBIAS GADSON BLVD, SUITE 100B, CHARLESTON, SC 29407-4707
(843) 556-9939
(843) 769-6625
Mailing address
1470 TOBIAS GADSON BLVD, SUITE 100B, CHARLESTON, SC 29407-4707
(843) 556-9939
(843) 769-6625
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3382
SC
122300000X
Dentist
6898
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1679883524
GROUP NPI
SC
05
—
ZA9834
—
SC
Enumeration date
02/06/2014
Last updated
02/06/2014
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