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Organization

KASSIS LONG FAMILY DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JULIE KASSIS LONG D.M.D. (PRESIDENT)
(843) 556-7444
Entity
Organization

Contact information

Practice address
10 FARMFIELD AVE, SUITE D, CHARLESTON, SC 29407-7756
(843) 556-7444
(843) 556-7565
Mailing address
10 FARMFIELD AVE, SUITE D, CHARLESTON, SC 29407-7756
(843) 556-7444
(843) 556-7565

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3790
SC

Other

Enumeration date
05/02/2007
Last updated
08/22/2020
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