Organization
JAMES ISLAND DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM DURHAM (MEMBER)
(864) 350-1386
Entity
Organization
Contact information
Practice address
1136 FOLLY RD, CHARLESTON, SC 29412-4104
(843) 225-7171
Mailing address
1136 FOLLY RD, CHARLESTON, SC 29412-4104
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3440
SC
Other
Enumeration date
08/26/2014
Last updated
08/26/2014
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