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Organization
TRINITY DENTAL CENTER, LLC
Active
Organization
TRINITY DENTAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALLACE L HOWELL (MANAGER)
(864) 224-4736
Entity
Organization
Contact information
Practice address
1221 N FANT ST, ANDERSON, SC 29621-4821
(864) 224-4736
Mailing address
PO BOX 202, ANDERSON, SC 29622-0202
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
3151
SC
Other
Enumeration date
11/30/2007
Last updated
11/30/2007
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