Organization
JAMES ISLAND DENTAL ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE THOMAS WEIR DDS (OWNER/DENTIST)
(843) 762-1234
Entity
Organization
Contact information
Practice address
113 WAPPOO CREEK DRIVE, SUITE 5, CHARLESTON, SC 29412
(843) 762-1234
(843) 762-9142
Mailing address
113 WAPPOO CREEK DRIVE, SUITE 5, CHARLESTON, SC 29412
(843) 762-1234
(843) 762-9142
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2971
SC
Other
Enumeration date
11/01/2006
Last updated
09/25/2007
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