Organization
BEAUFORT FAMILY DENTISTRY VSM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER SNOW (CREDENTIALING COORDINATOR)
(404) 410-1340
Entity
Organization
Contact information
Practice address
1274 RIBAUT RD, BEAUFORT, SC 29902-6187
(843) 524-6363
Mailing address
1274 RIBAUT RD, BEAUFORT, SC 29902-6187
(843) 524-6363
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/06/2017
Last updated
03/06/2017
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