Organization
CROWNS NOW DENTISTRY IRMO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES R. MORRIS JR. (CEO)
(864) 476-8315
Entity
Organization
Contact information
Practice address
7241 BROAD RIVER RD STE 50, IRMO, SC 29063-8164
(803) 732-3650
(803) 732-3565
Mailing address
7241 BROAD RIVER RD, SUITE 50, IRMO, SC 29063-8164
(803) 732-3650
(803) 732-3565
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
010854
SC
Other
Enumeration date
11/21/2006
Last updated
08/22/2020
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