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Organization

TRIDENT GENERAL DENTISTRY PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES ERIC LAYTON DMD, MBA (PRESIDENT)
(843) 552-2580
Entity
Organization

Contact information

Practice address
6335 DORCHESTER RD, CHARLESTON, SC 29418-5103
(843) 552-2580
(843) 552-2596
Mailing address
6335 DORCHESTER RD, CHARLESTON, SC 29418-5103
(843) 552-2580
(843) 552-2596

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
SC

Other

Enumeration date
03/15/2012
Last updated
03/20/2012
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