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Organization

SMILEOLOGY DENTAL CLINIC, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TRACY MICHELLE PAGE DDS (CEO)
(843) 767-8555
Entity
Organization

Contact information

Practice address
6518 DORCHESTER RD, SUITE A, NORTH CHARLESTON, SC 29418-5100
(843) 767-8555
(843) 793-3344
Mailing address
6518 DORCHESTER RD, SUITE A, NORTH CHARLESTON, SC 29418-5100
(843) 767-8555
(843) 793-3344

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1396940458
SC
Enumeration date
08/06/2014
Last updated
08/06/2014
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