Organization
NASH ORTHODONTICS PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRAVIS D NASH DDS (ORTHODONTIST)
(843) 884-6336
Entity
Organization
Contact information
Practice address
1127 QUEENSBOROUGH BLVD, SUITE 107, MOUNT PLEASANT, SC 29464-5431
(843) 884-6336
Mailing address
1127 QUEENSBOROUGH BLVD, SUITE 107, MOUNT PLEASANT, SC 29464-5431
(843) 884-6336
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4149
SC
Other
Enumeration date
05/28/2008
Last updated
05/28/2008
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