person
Coral Simantov-maman
General Practice Dentistry in Charleston, South Carolina
NPI 1255048278

Coral Simantov-maman is a General Practice Dentistry based in Charleston, SC and is specialized in General Practice. Coral Simantov-maman practices in Charleston, SC. The NPI Number for Coral Simantov-maman is 1255048278 and holds a License No. (South Carolina).

The current practice location address for Coral Simantov-maman is 2051 Sam Rittenberg Blvd, Charleston, SC and can be reached out via phone at 843-779-6844.

Location: 2051 Sam Rittenberg Blvd, Charleston, SC, 29414-8238
person
Provider Profile Details
NPI Number
1255048278
Provider Name
Coral Simantov-maman
Credential
Provider Entity Type
Individual
Gender
Female
Address
2051 Sam Rittenberg Blvd, Charleston, SC, 29414-8238
Phone Number
843-779-6844
Fax Number
Provider Enumeration Date
10/31/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2051 Sam Rittenberg Blvd
City
State
Zip
29407-4683
Phone Number
843-779-6844
Fax Number
person
Provider Business Mailing Address Details
Address
2051 Sam Rittenberg Blvd
City
State
Zip
29407-4683
Phone Number
843-779-6844
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
DGD.10522 (South Carolina)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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