Organization
LIVE OAK ENDONTICS
Active
Other names
Endodontic Specialists By Solomon Dental
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA M BAZZLE (OPERATIONS MANAGER)
(843) 871-0842
Entity
Organization
Contact information
Practice address
2080 ROYLE RD UNIT D, SUMMERVILLE, SC 29486-1301
(843) 871-0842
Mailing address
1971 N MAIN ST, SUMMERVILLE, SC 29486-7890
(843) 871-0842
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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