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Organization
CHERAW FAMILY DENTISTRY
Active
Organization
CHERAW FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM ROACHEL LANEY (OWNER)
(843) 537-9044
Entity
Organization
Contact information
Practice address
3137 HWY 9 W, CHERAW, SC 29520
(843) 537-9044
(843) 537-5853
Mailing address
PO BOX 1466, 3137 HWY 9 W, CHERAW, SC 29520
(843) 537-9044
(843) 537-5853
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
4509
SC
1223G0001X
General Practice Dentistry
Primary
1642
SC
1223G0001X
General Practice Dentistry
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX1642
—
SC
Enumeration date
10/16/2008
Last updated
10/16/2008
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