Organization
CEDAR DRIVE FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA CADDELL (OWNER)
(843) 567-3175
Entity
Organization
Contact information
Practice address
133 CEDAR DRIVE, SAINT STEPHEN, SC 29479
(843) 567-3175
Mailing address
PO BOX 760, SAINT STEPHEN, SC 29479-0760
(843) 567-3175
(843) 567-3293
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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