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Organization

TOWER DENTAL, LLC

Active
Other names
Tower Dental
Organization subpart
No

Provider details

NPI number
Authorized official
JEANINE GOURDINE D.M.D. (OWNER)
(843) 470-0333
Entity
Organization

Contact information

Practice address
330 ROBERT SMALLS PKWY, SUITE 11, BEAUFORT, SC 29906-4237
(843) 470-0333
Mailing address
330 ROBERT SMALLS PKWY, SUITE 11, BEAUFORT, SC 29906-4237
(843) 470-0333

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4061
SC

Other

Enumeration date
05/28/2015
Last updated
05/28/2015
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