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Organization
PEDO CAROLINA, INC.
Active
Organization
PEDO CAROLINA, INC.
Active
Other names
Rock Hill Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN MARK MITCHELL DMD, PHD, MSD (PRESIDENT/OWNER)
(704) 763-4931
Entity
Organization
Contact information
Practice address
2460 INDIA HOOK RD STE 106, ROCK HILL, SC 29732-3530
(704) 763-4931
Mailing address
2460 INDIA HOOK RD STE 106, ROCK HILL, SC 29732-3530
(704) 763-4931
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
4509-798
SC
Other
Enumeration date
09/13/2013
Last updated
09/13/2013
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