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Organization
CDA DENTAL PA
Active
Organization
CDA DENTAL PA
Active
Other names
Lyman Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER DEREK AYERS DMD (PRESIDENT)
(843) 406-3678
Entity
Organization
Contact information
Practice address
301 SPARTANBURG RD, LYMAN, SC 29365-1746
(864) 439-1240
(864) 439-1241
Mailing address
301 SPARTANBURG RD, LYMAN, SC 29365-1746
(864) 439-1240
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6942
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX6942
—
SC
Enumeration date
04/23/2014
Last updated
04/23/2014
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