Organization
SENSATIONAL SMILES OF CHARLESTON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD J RUTECKI DDS (OWNER)
(843) 569-8795
Entity
Organization
Contact information
Practice address
597 OLD MOUNT HOLLY RD STE 209, GOOSE CREEK, SC 29445-2832
(843) 569-8795
(843) 569-8797
Mailing address
597 OLD MOUNT HOLLY RD STE 209, GOOSE CREEK, SC 29445-2832
(843) 569-8795
(843) 569-8797
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123
WHOEVER
SC
Enumeration date
05/19/2021
Last updated
06/02/2021
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