Organization
PALMETTO SMILES OF BEAUFORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER LEA BAILEY D.D.S. (DENTIST)
(843) 524-7645
Entity
Organization
Contact information
Practice address
40 KEMMERLIN LN, BEAUFORT, SC 29907-2709
(843) 524-7645
Mailing address
40 KEMMERLIN LN, BEAUFORT, SC 29907-2709
(843) 524-7645
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4161
SC
Other
Enumeration date
01/12/2008
Last updated
01/12/2008
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