Organization
OAK LANDING PEDIATRIC DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GABRIEL N ROSS DMD (OWNER/DENTIST)
(843) 900-4490
Entity
Organization
Contact information
Practice address
2001 2ND AVE STE 102, SUMMERVILLE, SC 29486-7887
(843) 900-4490
(843) 501-9450
Mailing address
3255 MOONLIGHT DR, CHARLESTON, SC 29414-8052
(803) 537-9136
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
08/04/2019
Last updated
01/28/2022
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