Organization · Type 2 NPI
Children and Adult Dental LLC
Dental Clinic/Center · Irmo, SC
NPI number
1053887653
Active
Practice location
7210K Broad River Rd
Irmo, SC 29063-7973
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1053887653
Children and Adult Dental LLC's National Provider Identifier is 1053887653, issued on Oct 22, 2018. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Irmo, SC. The record was last updated on Oct 22, 2018.