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Organization

SMILE ON CHARLESTON, LLC

Active
Other names
Blackman & Lineberger Orthodontics
Organization subpart
No

Provider details

NPI number
Authorized official
CANDIE S GOODWIN (BUSINESS MANAGER)
(704) 892-3300
Entity
Organization

Contact information

Practice address
91 RUTLEDGE AVE, CHARLESTON, SC 29401-1722
(843) 577-7477
Mailing address
91 RUTLEDGE AVE, CHARLESTON, SC 29401-1722
(843) 577-7477

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
8066
SC

Other

Enumeration date
02/14/2017
Last updated
02/14/2017
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