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Organization

SOUTHERN CHARM PEDIATRIC DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANGELICA WONG DDS (OWNER)
(562) 441-4757
Entity
Organization

Contact information

Practice address
2021 BRIDGEMILL RD., SUITE 108, INDIAN LAND, SC 29707-2817
(562) 441-4757
Mailing address
1305 WAYNEWOOD DR, WAXHAW, NC 28173-6907
(562) 441-4757

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Enumeration date
09/11/2019
Last updated
09/11/2019
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