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Organization

FLORENCE-DARLINGTON TECHNICAL COLLEGE

Active
Other names
Health Science Campus - Dental Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JERMAINE FORD (PRESIDENT)
(843) 661-8000
Entity
Organization

Contact information

Practice address
320 W CHEVES ST, FLORENCE, SC 29501-4437
(843) 679-2032
Mailing address
PO BOX 100548, FLORENCE, SC 29502-0548

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
05/09/2023
Last updated
05/09/2023
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