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Organization
FAMILY DENTAL SPA PC
Active
Organization
FAMILY DENTAL SPA PC
Active
Other names
Falko Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW FALKOVSKY DMD (OWNER)
(803) 324-3277
Entity
Organization
Contact information
Practice address
1251 EBENEZER RD, ROCK HILL, SC 29732-2353
(803) 324-3277
Mailing address
1251 EBENEZER RD, ROCK HILL, SC 29732-2353
(803) 324-3277
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9077
SC
Other
Enumeration date
02/14/2018
Last updated
02/20/2018
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