Organization
TEGA CAY FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA CORREAL DDS (OWENER)
(888) 764-5314
Entity
Organization
Contact information
Practice address
1188 STONECREST BLVD, TEGA CAY, SC 29708-6632
(888) 764-5314
Mailing address
1188 STONECREST BLVD, TEGA CAY, SC 29708-6632
(888) 764-5314
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
01/12/2021
Last updated
01/12/2021
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