Organization
SMILEOLOGY ECO DENTAL SPA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACY PAGE DDS (CEO)
(404) 862-2004
Entity
Organization
Contact information
Practice address
2106 MOUNT PLEASANT ST, # P-137, CHARLESTON, SC 29403-3026
(843) 608-3188
Mailing address
6518 DORCHESTER RD, SUITE A, NORTH CHARLESTON, SC 29418-5100
(843) 767-8555
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4691
SC
Other
Enumeration date
09/19/2014
Last updated
10/15/2014
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