Organization
TGD-WEST ASHLEY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC LAYTON DDS (OWNER)
(843) 552-2580
Entity
Organization
Contact information
Practice address
2048 SAM RITTENBERG BLVD STE 2, CHARLESTON, SC 29407-4673
(843) 556-5150
Mailing address
2048 SAM RITTENBERG BLVD STE 2, CHARLESTON, SC 29407-4673
(843) 556-5150
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
05/27/2020
Last updated
05/27/2020
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