Whalio Doctors

NPI 1124238407

Carolina Center for Cosmetic and Restorative Dentistry, LLC

Organisation General Practice Dentistry Conway, SC

Practice location

Address
1515 9th Ave, Conway, SC 29526-4107
Phone
(843) 248-3843
Fax
(843) 248-8802

Authorised official

Name
Jeffrey Wayne Horowitz
Title
Owner
Phone
(843) 248-3843

Registered specialties

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X Licence 3112 (SC)

Registry record

NPI
1124238407
Entity type
Organization
NPI issued
23 May 2007
Record last updated
10 Jul 2007

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.