Organization
ADVANCED DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDICE M VINSON DMD (OWNER)
(843) 291-8999
Entity
Organization
Contact information
Practice address
1149 OAKLAND MARKET RD, MOUNT PLEASANT, SC 29466-8220
(843) 291-8999
Mailing address
3708 MAIDSTONE DR, MOUNT PLEASANT, SC 29466-7545
(843) 291-8999
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
8470
SC
Other
Enumeration date
02/08/2018
Last updated
02/08/2018
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