Organization
DANIEL ISLAND DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANA BLALOCK (CEO)
(843) 881-4545
Entity
Organization
Contact information
Practice address
210 SEVEN FARMS DR, SUITE 103, DANIEL ISLAND, SC 29492-7561
(843) 881-4545
(843) 881-6252
Mailing address
210 SEVEN FARMS DR, SUITE 103, DANIEL ISLAND, SC 29492-7561
(843) 881-4545
(843) 881-6252
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3158
SC
Other
Enumeration date
06/10/2010
Last updated
06/10/2010
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