Organization
FAMILY LASER DENTAL OF NORTH CHARLESTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID IENI DDS (OWNER/DENTIST)
(603) 236-9770
Entity
Organization
Contact information
Practice address
7455 CROSS COUNTY RD, UNIT 5, NORTH CHARLESTON, SC 29418-8470
(843) 552-4771
Mailing address
4245 COOLIDGE ST, MOUNT PLEASANT, SC 29466-7161
(603) 236-9770
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8812
SC
Other
Enumeration date
01/31/2017
Last updated
01/31/2017
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