Organization
UNITED DENTAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONARD E DAVIS D.D.S. (DENTIST)
(843) 324-8501
Entity
Organization
Contact information
Practice address
4215 NORTH RD, ORANGEBURG, SC 29118-1128
(843) 324-8501
Mailing address
PO BOX 30818, CHARLESTON, SC 29417-0818
(843) 324-8501
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2226
SC
Other
Enumeration date
04/16/2007
Last updated
08/22/2020
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