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Organization
COASTAL FAMILY DENTISTRY OF JOHNS ISLAND
Active
Organization
COASTAL FAMILY DENTISTRY OF JOHNS ISLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW CARL WATSON DMD (PRESIDENT)
(843) 559-5555
Entity
Organization
Contact information
Practice address
2754 MAYBANK HWY, JOHNS ISLAND, SC 29455-4809
(843) 559-5555
Mailing address
2754 MAYBANK HWY, JOHNS ISLAND, SC 29455-4809
(843) 559-5555
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3298
SC
122300000X
Dentist
3539
SC
122300000X
Dentist
4360
SC
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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