Organization
ARCHDALE FAMILY DENTISTRY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. COLLEEN P. CONDREY (OFFICE MANAGER)
(843) 552-1600
Entity
Organization
Contact information
Practice address
5306 PARKSHIRE WAY, NORTH CHARLESTON, SC 29418-2000
(843) 552-1600
(843) 552-0049
Mailing address
5306 PARKSHIRE WAY, NORTH CHARLESTON, SC 29418-2000
(843) 552-1600
(843) 552-0049
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2785
SC
1223G0001X
General Practice Dentistry
Primary
6959
SC
Other
Enumeration date
02/27/2017
Last updated
02/27/2017
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