Organization
CANE BAY FAMILY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER D OLIVER DMD (PRESIDENT)
(843) 327-7661
Entity
Organization
Contact information
Practice address
1724 STATE RD, SUITE 4D, SUMMERVILLE, SC 29483-2842
(843) 352-4454
Mailing address
1724 STATE RD, SUITE 4D, SUMMERVILLE, SC 29483-2842
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
SC 8137
SC
Other
Enumeration date
09/04/2013
Last updated
09/04/2013
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