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Organization
CRESTVIEW FAMILY DENTAL, PC
Active
Organization
CRESTVIEW FAMILY DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN JOHN VAN DE GRAAFF DDS (DENTIST)
(402) 249-0002
Entity
Organization
Contact information
Practice address
99 CRESTVIEW DR, NORTH AUGUSTA, SC 29841-4701
(402) 249-0002
Mailing address
99 CRESTVIEW DR, NORTH AUGUSTA, SC 29841-4701
(803) 593-5386
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DGD 8744
SC
Other
Enumeration date
07/08/2016
Last updated
08/05/2016
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