Organization · Type 2 NPI
Lake Moultrie Dental LLC
Dental Clinic/Center · Moncks Corner, SC
NPI number
1013482603
Active
Practice location
205 Carolina Ave
Moncks Corner, SC 29461-3736
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Other dental clinic/center providers in Moncks Corner
About NPI 1013482603
Lake Moultrie Dental LLC's National Provider Identifier is 1013482603, issued on Oct 10, 2018. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Moncks Corner, SC. The record was last updated on Oct 10, 2018.