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Organization

GASLITE DENTAL HEALTH PC

Active
Other names
Smile On Dental
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTOPHER CHARLES (OPERATION MANAGER)
(843) 557-5396
Entity
Organization

Contact information

Practice address
5621 RIVERS AVE, NORTH CHARLESTON, SC 29406-6022
(843) 572-9909
Mailing address
700 RAVEN ROCK LN APT 301, DUNCAN, SC 29334-8570
(843) 557-5396

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
10/19/2017
Last updated
06/16/2018
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