Organization
MOUTH CAROLINA DENTISTRY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW WILLIAM GREENBERG DMD (PRESIDENT)
(843) 260-4592
Entity
Organization
Contact information
Practice address
3 GAMECOCK AVE, SUITE 302, CHARLESTON, SC 29407-3378
(843) 556-4798
(843) 556-4798
Mailing address
3 GAMECOCK AVE, SUITE 302, CHARLESTON, SC 29407-3378
(843) 556-4798
(843) 556-4798
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4643
SC
Other
Enumeration date
07/25/2011
Last updated
04/29/2013
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