Organization
IRMO KIDS DENTAL LLC
Active
Other names
Irmo Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD TOLBERT (CONSULTANT)
(803) 764-2013
Entity
Organization
Contact information
Practice address
7570 WOODROW ST, IRMO, SC 29063-2831
(803) 764-2013
Mailing address
7570 WOODROW ST, IRMO, SC 29063-2831
(803) 638-4442
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/25/2025
Last updated
11/12/2025
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