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Organization

HUSH DSM LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KIRKLAND WOODRUFF CLARK III DMD (DENTIST)
(843) 801-3996
Entity
Organization

Contact information

Practice address
3324 OLYMPIC LN, MOUNT PLEASANT, SC 29466-8998
(843) 801-3996
Mailing address
PO BOX 1543, MOUNT PLEASANT, SC 29465-1543

Taxonomy

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

Other

Enumeration date
02/16/2019
Last updated
02/16/2019
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