Organization
COASTAL FAMILY DENTISTRY OF WEST ASHLEY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW C. WATSON DMD (OWNER)
(843) 556-6575
Entity
Organization
Contact information
Practice address
1575 SAVANNAH HWY, SUITE 1, CHARLESTON, SC 29407-7842
(843) 556-6575
(843) 556-0207
Mailing address
1575 SAVANNAH HWY, SUITE 1, CHARLESTON, SC 29407-7842
(843) 556-6575
(843) 556-0207
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3298
SC
1223G0001X
General Practice Dentistry
3539
SC
Other
Enumeration date
05/08/2007
Last updated
08/14/2007
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