Organization
CHS DENTAL LLC
Active
Other names
CHS Dental, Anderson Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD ALEX KUSEK DDS (OWNER)
(843) 330-6109
Entity
Organization
Contact information
Practice address
317 WINGO WAY STE 301, MOUNT PLEASANT, SC 29464-1803
(843) 330-6109
Mailing address
317 WINGO WAY STE 301, MOUNT PLEASANT, SC 29464-1803
(843) 330-6109
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/15/2021
Last updated
01/15/2021
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