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Organization
OAKBROOK FAMILY DENTISTRY PC
Active
Organization
OAKBROOK FAMILY DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN TERRY POOLE III DMD (OWNER DENTIST)
(843) 871-1116
Entity
Organization
Contact information
Practice address
1806 OLD TROLLEY RD, SUMMERVILLE, SC 29485-8224
(843) 871-1116
Mailing address
1806 OLD TROLLEY RD, SUMMERVILLE, SC 29485-8224
(843) 871-1116
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/06/2021
Last updated
01/06/2021
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