NPI 1386030351

Victory Dentistry for Kids

Organisation Point of Service Indian Land, SC

Practice location

Address: 9787 Charlotte Hwy STE 203, Indian Land, SC 29707-5511
Phone: (803) 547-2280

Authorised official

Name: Tashia McDonald
Title: Manager
Phone: (803) 228-0525

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 4382 (SC)

Other Point of Service providers in South Carolina →

Registry record

NPI: 1386030351
Entity type: Organization
NPI issued: 7 Apr 2015
Record last updated: 7 Apr 2015

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.