Organization
PALMETTO RAINBOW DENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEONARD E. DAVIS D.D.S. (MANAGING PARNTER)
(843) 763-8755
Entity
Organization
Contact information
Practice address
922 WAPPOO RD, CHARLESTON, SC 29407-5957
(843) 763-8755
(843) 763-8755
Mailing address
922 WAPPOO RD, CHARLESTON, SC 29407-5957
(843) 763-8755
(843) 763-8755
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
# 2226
SC
Other
Enumeration date
03/25/2011
Last updated
03/25/2011
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