Organization
CHARLESTON ENDODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA MASON RDH, CDA (PRACTICE MANAGER)
(843) 376-2222
Entity
Organization
Contact information
Practice address
508 N PINE ST, SUMMERVILLE, SC 29483-6555
(843) 376-2222
Mailing address
508 N PINE ST, SUMMERVILLE, SC 29483-6555
(843) 376-2222
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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