Organization
DENTESTHET, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALINA O. PORCELLI (OFFICE MANAGER)
(843) 524-6363
Entity
Organization
Contact information
Practice address
1274 RIBAUT RD, BEAUFORT, SC 29902-6187
(843) 524-6363
Mailing address
1274 RIBAUT RD, BEAUFORT, SC 29902-6187
(843) 524-6363
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4530
SC
Other
Enumeration date
05/13/2009
Last updated
05/13/2009
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