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Organization
IRBY STREET DENTAL HEALTH CENTER, P.C.
Active
Organization
IRBY STREET DENTAL HEALTH CENTER, P.C.
Active
Other names
PeeDee Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DAN SPEARS (OWNER/PRESIDENT)
(843) 673-0075
Entity
Organization
Contact information
Practice address
943 S IRBY ST UNIT A, FLORENCE, SC 29501-5238
(843) 673-0075
Mailing address
943 S IRBY ST UNIT A, FLORENCE, SC 29501-5238
(843) 673-0075
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2464
SC
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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