Organization
SEA SMILES PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE HARPHAM D.D.S. (PEDIATRIC DENTIST)
(989) 415-3397
Entity
Organization
Contact information
Practice address
168 BLUFFTON RD, BLUFFTON, SC 29910-6248
(989) 415-3397
Mailing address
168 BLUFFTON RD, BLUFFTON, SC 29910-6248
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
8196
SC
Other
Enumeration date
04/04/2014
Last updated
04/04/2014
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