Organization
CORNERSTONE CHILDREN'S DENTISTRY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL A GALLOWAY D.M.D. (DENTIST)
(843) 556-1655
Entity
Organization
Contact information
Practice address
2075-A CHARLIE HALL BLVD., CHARLESTON, SC 29414-5834
(843) 556-1655
(843) 556-1656
Mailing address
2075-A CHARLIE HALL BLVD., CHARLESTON, SC 29414-5834
(843) 556-1655
(843) 556-1656
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3956
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX3956
—
SC
Enumeration date
04/11/2007
Last updated
08/22/2020
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