Organization
SOUTHERN PEDIATRIC DENTISTRY P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE BRAY BRYANT D.M.D. (PEDIATRIC DENTIST)
(864) 844-9393
Entity
Organization
Contact information
Practice address
1515 N FANT ST, ANDERSON, SC 29621-4707
(864) 844-9393
(864) 844-9395
Mailing address
1515 N FANT ST, ANDERSON, SC 29621-4707
(864) 844-9393
(864) 844-9395
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
4046
SC
Other
Enumeration date
05/22/2015
Last updated
05/22/2015
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