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Organization
MEDICAL PARK DENTISTRY
Active
Organization
MEDICAL PARK DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER CHARLES (COO)
(843) 557-5396
Entity
Organization
Contact information
Practice address
2039 MEDICAL PARK DR, NEWBERRY, SC 29108-2249
(803) 276-3371
Mailing address
PO BOX 699, CHAPIN, SC 29036-0699
(843) 557-5396
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/07/2022
Last updated
07/07/2022
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