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Organization
PALMETTO RAINBOW DENTAL GROUP LLC
Active
Organization
PALMETTO RAINBOW DENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEONARD E. DAVIS D.D.S. (MANAGING PARNTER)
(843) 763-8755
Entity
Organization
Contact information
Practice address
922 WAPPOO RD, CHARLESTON, SC 29407-5957
(843) 763-8755
(843) 763-8755
Mailing address
922 WAPPOO RD, CHARLESTON, SC 29407-5957
(843) 763-8755
(843) 763-8755
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
# 2226
SC
Other
Enumeration date
03/25/2011
Last updated
03/25/2011
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