Organization
PARK WEST DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD KEVIN HOGAN DDS (PRESIDENT)
(843) 216-0908
Entity
Organization
Contact information
Practice address
3377 S MORGANS POINT RD, SUITE 411, MOUNT PLEASANT, SC 29466-8332
(843) 216-0908
(843) 216-0324
Mailing address
3377 S MORGANS POINT RD, SUITE 411, MOUNT PLEASANT, SC 29466-8332
(843) 216-0908
(843) 216-0324
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
SC3924
SC
Other
Enumeration date
03/07/2007
Last updated
08/22/2020
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