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Organization
EH DENTAL, LLC
Active
Organization
EH DENTAL, LLC
Active
Other names
East Highland Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES PRESTON PAYNE JR. DMD (OWNER)
(864) 226-5058
Entity
Organization
Contact information
Practice address
303 E HIGHLAND AVE STE 105, ANDERSON, SC 29621-4767
(864) 226-5058
Mailing address
303 E HIGHLAND AVE STE 105, ANDERSON, SC 29621-4767
(864) 226-5058
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9142
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851834964
—
CA
Enumeration date
08/02/2018
Last updated
08/02/2018
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