Organization · Type 2 NPI
Longboard Dental LLC
Dental Clinic/Center · Mount Pleasant, SC
NPI number
1134837503
Active
Practice location
405 Faison Road, Suire A3
Mount Pleasant, SC 29466
Fax (843) 654-1374
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 1134837503
Longboard Dental LLC's National Provider Identifier is 1134837503, issued on Nov 14, 2022. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Mount Pleasant, SC. The record was last updated on Nov 14, 2022.