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Neda Azadivatan-Le, D.D.S

NPI 1922121177 · on the registry since 2007 · sole proprietor

Practice

Address
1947 Glenns Bay Rd
Surfside Beach, SC 29575
Phone
(843) 650-7171
Fax
(843) 650-7173
Organisation at this address
Laser Periodontics & Dental Implants
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
1223P0300X
1223P0300X
Also registered as
1223P0300X
Licence states on file
NY, SC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-02-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina