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Organization
FAMILY AND RESTORATIVE DENTAL ASSOCIATES
Active
Organization
FAMILY AND RESTORATIVE DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES THOMAS KANDL D.D.S. (PRESIDENT)
(843) 883-9529
Entity
Organization
Contact information
Practice address
2213 MIDDLE ST, SULLIVANS ISLAND, SC 29482-8780
(843) 883-9529
Mailing address
2213 MIDDLE ST, SULLIVANS ISLAND, SC 29482-8780
(843) 883-9529
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
3579
SC
Other
Enumeration date
10/12/2007
Last updated
10/12/2007
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