Organization
COMPREHENSIVE DENTISTRY FOR ADULTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES C. LESCH DDS (OWNER)
(843) 797-6919
Entity
Organization
Contact information
Practice address
7465 NORTHSIDE DR, NORTH CHARLESTON, SC 29420-4209
(843) 797-6919
Mailing address
7465 NORTHSIDE DR, NORTH CHARLESTON, SC 29420-4209
(843) 797-6919
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-3382
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA9834
—
SC
Enumeration date
10/13/2010
Last updated
10/13/2010
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