Organization
AARON M. BLILEY DMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AARON MATTHEW BLILEY D.M.D. (OWNER)
(843) 524-9020
Entity
Organization
Contact information
Practice address
17A MARSHELLEN DR, BEAUFORT, SC 29902-6900
(843) 524-9020
(843) 524-9525
Mailing address
17A MARSHELLEN DR, BEAUFORT, SC 29902-6900
(843) 524-9020
(843) 524-9525
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3973
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX3973
—
SC
Enumeration date
01/06/2009
Last updated
01/08/2009
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