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Organization

MOBILE DENTAL CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN E REESE DMD (CO-OWNER)
(843) 766-6194
Entity
Organization

Contact information

Practice address
1064 GARDNER RD, STE 101, CHARLESTON, SC 29407-5768
(843) 766-6194
Mailing address
1064 GARDNER RD, STE 101, CHARLESTON, SC 29407-5768
(843) 766-6194

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
SC3654
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ZA9562
SC
Enumeration date
07/24/2007
Last updated
07/24/2007
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