Organization
COASTAL FAMILY DENTISTRY OF JOHNS ISLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW CARL WATSON DMD (PRESIDENT)
(843) 559-5555
Entity
Organization
Contact information
Practice address
2754 MAYBANK HWY, JOHNS ISLAND, SC 29455-4809
(843) 559-5555
Mailing address
2754 MAYBANK HWY, JOHNS ISLAND, SC 29455-4809
(843) 559-5555
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3298
SC
122300000X
Dentist
3539
SC
122300000X
Dentist
4360
SC
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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