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Organization
PAGELAND DENTISTRY PA
Active
Organization
PAGELAND DENTISTRY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANASTASIA V VORONINA DDS (OWNER/DENTIST)
(843) 672-2403
Entity
Organization
Contact information
Practice address
124 S PEARL ST, PAGELAND, SC 29728-2254
(843) 672-2403
(843) 672-3299
Mailing address
124 S PEARL ST, PAGELAND, SC 29728-2254
(843) 672-2403
(843) 672-3299
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
4435
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX4435
—
SC
Enumeration date
06/17/2014
Last updated
06/17/2014
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