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Organization
OLD TROLLEY DENTAL ASSOC PA
Active
Organization
OLD TROLLEY DENTAL ASSOC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM S. KIBLER DMD (DENTIST)
(843) 871-2971
Entity
Organization
Contact information
Practice address
600 OLD TROLLEY RD, SUITE A, SUMMERVILLE, SC 29485-5657
(843) 871-2971
(843) 871-7412
Mailing address
600 OLD TROLLEY RD, SUITE A, SUMMERVILLE, SC 29485-5657
(843) 871-2971
(843) 871-7412
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3872
SC
Other
Enumeration date
01/29/2007
Last updated
08/22/2020
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