Organization
SENIOR DENTAL HYGIENE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENISE NEWMAN SEXTON RDH (PRESIDENT/MANAGER)
(843) 696-4712
Entity
Organization
Contact information
Practice address
3100 TRADITION CIR, MOUNT PLEASANT, SC 29466-7200
(843) 696-4712
Mailing address
PO BOX 2554, MOUNT PLEASANT, SC 29465-2554
(843) 696-4712
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2226
SC
Other
Enumeration date
05/20/2011
Last updated
05/20/2011
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