Organization
TDSP-SUMMERVILLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC LAYTON DENTIST (OWNER)
(843) 594-5244
Entity
Organization
Contact information
Practice address
604-B NEXTON SQUARE DR, SUMMERVILLE, SC 29486
(843) 594-5244
Mailing address
604-B NEXTON SQUARE DR, SUMMERVILLE, SC 29486
(843) 594-5244
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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