Organization
PERIOCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEDA AZADIVATAN DDS (OWNER/DENTIST)
(843) 650-7171
Entity
Organization
Contact information
Practice address
3070 N HIGHWAY 17 STE 202, MT PLEASANT, SC 29466-9300
(843) 650-7171
Mailing address
3070 N HIGHWAY 17 STE 202, MT PLEASANT, SC 29466-9300
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
07/22/2025
Last updated
07/22/2025
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