Organization
DENTURECARELLC
Active
Other names
Denture Care Shop
Organization subpart
No
Provider details
NPI number
Authorized official
SELENA MARTIN (COO)
(917) 328-6654
Entity
Organization
Contact information
Practice address
6185 RIVERS AVE STE P, NORTH CHARLESTON, SC 29406-4999
(212) 843-4032
Mailing address
997 MORRISON DR STE 200, CHARLESTON, SC 29403-4378
(917) 328-6654
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
—
—
Other
Enumeration date
02/14/2022
Last updated
02/14/2022
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