Organization
PEDIATRIC SMILES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COURTNEY DAVIS D.D.S (OWNER/PEDIATRIC DENTIST)
(843) 707-7915
Entity
Organization
Contact information
Practice address
19 PROMENADE ST, UNIT 201, BLUFFTON, SC 29910-7037
(843) 707-7915
Mailing address
19 PROMENADE ST, UNIT 201, BLUFFTON, SC 29910-7037
(843) 707-7915
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
8543-869
SC
Other
Enumeration date
06/06/2016
Last updated
06/06/2016
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