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Organization
ARTISTIC IMPRESSIONS COSMETIC AND FAMILY DENTISTRY, PA
Active
Organization
ARTISTIC IMPRESSIONS COSMETIC AND FAMILY DENTISTRY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CALVIN VICTOR BOYKIN JR. D.M.D. (OWNER)
(864) 306-8350
Entity
Organization
Contact information
Practice address
223 DAYTON SCHOOL RD, SUITE 103, EASLEY, SC 29642-1447
(864) 306-8350
(864) 306-8587
Mailing address
223 DAYTON SCHOOL RD, SUITE 103, EASLEY, SC 29642-1447
(864) 306-8350
(864) 306-8587
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4113
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX4113
—
SC
Enumeration date
11/17/2009
Last updated
12/08/2009
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