Organization
FAMILY AND RESTORATIVE DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES THOMAS KANDL D.D.S. (PRESIDENT)
(843) 883-9529
Entity
Organization
Contact information
Practice address
2213 MIDDLE ST, SULLIVANS ISLAND, SC 29482-8780
(843) 883-9529
Mailing address
2213 MIDDLE ST, SULLIVANS ISLAND, SC 29482-8780
(843) 883-9529
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
3579
SC
Other
Enumeration date
10/12/2007
Last updated
10/12/2007
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