Organization
BEAUFORT CENTER FOR DENTISTRY LLC
Active
Other names
Beaufort Center for Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUIS EDWARD COSTA III DMD (DENTIST)
(843) 524-7950
Entity
Organization
Contact information
Practice address
1264 RIBAUT RD STE 401, BEAUFORT, SC 29902-6129
(843) 524-7950
Mailing address
1264 RIBAUT RD STE 401, BEAUFORT, SC 29902-6129
(843) 524-7950
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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