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Organization

SMILEOLOGY DENTAL CLINIC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TRACY M PAGE DDS (CEO)
(404) 862-2004
Entity
Organization

Contact information

Practice address
6518 DORCHESTER RD, SUITE A, N CHARLESTON, SC 29418-5100
(843) 767-8555
Mailing address
6518 DORCHESTER RD, SUITE A, N CHARLESTON, SC 29418-5100
(843) 767-8555

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4691
SC

Other

Enumeration date
10/07/2014
Last updated
10/27/2014
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