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Organization
PINELAND TIDEWATER, PA
Active
Organization
PINELAND TIDEWATER, PA
Active
Other names
Pineland Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES REED WILLIAMSON DMD (VICE PRESIDENT)
(843) 873-1646
Entity
Organization
Contact information
Practice address
503 N PINE ST, SUMMERVILLE, SC 29483-6554
(843) 871-5394
Mailing address
503 N PINE ST, SUMMERVILLE, SC 29483-6554
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/08/2019
Last updated
01/13/2021
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