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Organization
FAMILY DENTISTRY JARED P. TAVERNIER DMD, PA
Active
Organization
FAMILY DENTISTRY JARED P. TAVERNIER DMD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARED PRESTON TAVERNIER D.M.D. (PRINCIPAL)
(864) 934-3637
Entity
Organization
Contact information
Practice address
321 N CAMBRIDGE ST, NINETY SIX, SC 29666-1012
(864) 543-4109
(864) 543-3246
Mailing address
321 N CAMBRIDGE ST, NINETY SIX, SC 29666-1012
(864) 543-4109
(864) 543-3246
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8591
SC
Other
Enumeration date
07/08/2015
Last updated
07/08/2015
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