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Organization
DWIGHT J. BEAVERS, D.D.S., P.A.
Active
Organization
DWIGHT J. BEAVERS, D.D.S., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DWIGHT J BEAVERS D.D.S. (OWNER)
(843) 871-9070
Entity
Organization
Contact information
Practice address
298 OLD TROLLEY RD, SUMMERVILLE, SC 29485-4929
(843) 871-9070
(843) 871-9111
Mailing address
298 OLD TROLLEY RD, SUMMERVILLE, SC 29485-4929
(843) 871-9070
(843) 871-9111
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2560
SC
Other
Enumeration date
03/20/2013
Last updated
03/20/2013
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