Organization
CHURCH DMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA F CHURCH DMD (OWNER)
(904) 556-2332
Entity
Organization
Contact information
Practice address
210 SEVEN FARMS DR STE 103, DANIEL ISLAND, SC 29492-7563
(843) 881-4545
Mailing address
210 SEVEN FARMS DR STE 103, DANIEL ISLAND, SC 29492-7563
(843) 881-4545
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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