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Organization
DR BYRON K. BRIDGES DDS PA
Active
Organization
DR BYRON K. BRIDGES DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYON K. BRIDGES DDS PA (DR)
(864) 836-8416
Entity
Organization
Contact information
Practice address
3037 GEER HWY, MARIETTA, SC 29661
(864) 836-8416
(864) 836-0780
Mailing address
P.O. BOX 491, 3037 GERR HWY, MARIETTA, SC 29661-0491
(864) 836-8416
(864) 836-0780
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1171
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952475949
—
SC
05
—
Z11719
—
SC
05
—
ZA11719
—
SC
Enumeration date
11/20/2006
Last updated
08/20/2008
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