Organization
COASTAL PEDIATRIC DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDY L RANEY (OFFICE MANAGER)
(843) 671-7336
Entity
Organization
Contact information
Practice address
23 MAIN ST, SUITE 302, HILTON HEAD, SC 29926-1648
(843) 671-7336
Mailing address
23 MAIN ST, SUITE 302, HILTON HEAD, SC 29926-1648
(843) 671-7336
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
4076
SC
Other
Enumeration date
01/18/2007
Last updated
08/22/2020
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