Organization · Type 2 NPI

129 Plantation Groose Creek Professional, LLC

General Practice Dentistry · Goose Creek, SC

NPI number 1487311296 Active

About NPI 1487311296

129 Plantation Groose Creek Professional, LLC's National Provider Identifier is 1487311296, issued on Nov 29, 2021. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Goose Creek, SC. The record was last updated on Nov 29, 2021.