Organization
CANE BAY ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROLAND K FULCHER DMD (OWNER)
(843) 261-7766
Entity
Organization
Contact information
Practice address
597 OLD MOUNT HOLLY RD, SUITE 205, GOOSE CREEK, SC 29445-2832
(843) 797-7711
(843) 797-7747
Mailing address
597 OLD MOUNT HOLLY RD, SUITE 205, GOOSE CREEK, SC 29445-2832
(843) 797-7711
(843) 797-7747
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
04/29/2010
Last updated
04/29/2010
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