Organization
PEDO CAROLINA, INC.
Active
Other names
Rock Hill Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN MARK MITCHELL DMD, PHD, MSD (PRESIDENT/OWNER)
(704) 763-4931
Entity
Organization
Contact information
Practice address
2460 INDIA HOOK RD STE 106, ROCK HILL, SC 29732-3530
(704) 763-4931
Mailing address
2460 INDIA HOOK RD STE 106, ROCK HILL, SC 29732-3530
(704) 763-4931
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
4509-798
SC
Other
Enumeration date
09/13/2013
Last updated
09/13/2013
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