Organization
CAROLINA ELITE DENTAL SERVICES II LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD E. OFFUTT JR. D.D.S., M.S. (PRESIDENT)
(704) 609-8939
Entity
Organization
Contact information
Practice address
101 PERPETUAL SQ, ANDERSON, SC 29621-1713
(704) 609-8939
Mailing address
101 PERPETUAL SQ, ANDERSON, SC 29621-1713
(704) 609-8939
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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