NPI 1003955659
Charleston Periodonticspa
Practice location
- Address
- 1051 Gardner Rd Suite a, Charleston, SC 29407-5747
- Phone
- (843) 766-7131
- Fax
- (843) 766-1839
Authorised official
- Name
- Jeffrey J Laro
- Title
- Periodontist
- Phone
- (843) 766-7131
Registered specialties
Periodontics
Primary
Registry record
- NPI
- 1003955659
- Entity type
- Organization
- NPI issued
- 6 Feb 2007
- Record last updated
- 2 May 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.