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Organization
ARCHDALE FAMILY DENTISTRY ASSOCIATES, LLC
Active
Organization
ARCHDALE FAMILY DENTISTRY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. COLLEEN P. CONDREY (OFFICE MANAGER)
(843) 552-1600
Entity
Organization
Contact information
Practice address
5306 PARKSHIRE WAY, NORTH CHARLESTON, SC 29418-2000
(843) 552-1600
(843) 552-0049
Mailing address
5306 PARKSHIRE WAY, NORTH CHARLESTON, SC 29418-2000
(843) 552-1600
(843) 552-0049
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2785
SC
1223G0001X
General Practice Dentistry
Primary
6959
SC
Other
Enumeration date
02/27/2017
Last updated
02/27/2017
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