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Organization

SUMMER DENTAL, LLC

Active
Other names
Sweetgrass Dental of Summerville
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KIM T DURHAM (SECRETARY)
(864) 350-1386
Entity
Organization

Contact information

Practice address
2039 N MAIN ST, SUMMERVILLE, SC 29483-7821
(843) 871-0433
Mailing address
130 MERIDIAN RD, BEAUFORT, SC 29907-1700
(864) 350-1386

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3440
SC

Other

Enumeration date
06/17/2014
Last updated
06/17/2014
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