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Organization
CAROLINA ELITE DENTAL SERVICES II LLC
Active
Organization
CAROLINA ELITE DENTAL SERVICES II LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD E. OFFUTT JR. D.D.S., M.S. (PRESIDENT)
(704) 609-8939
Entity
Organization
Contact information
Practice address
101 PERPETUAL SQ, ANDERSON, SC 29621-1713
(704) 609-8939
Mailing address
101 PERPETUAL SQ, ANDERSON, SC 29621-1713
(704) 609-8939
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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