Organization
CLINTON DENTAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTIN ROWLAND DERRICK DMD (DENTIST)
(864) 833-5400
Entity
Organization
Contact information
Practice address
1208 SPRINGDALE DR, CLINTON, SC 29325-7225
(864) 833-5400
(864) 833-5417
Mailing address
1208 SPRINGDALE DR., PO BOX 837, CLINTON, SC 29325
(864) 833-5400
(864) 833-5417
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4208
SC
Other
Enumeration date
06/05/2007
Last updated
03/29/2018
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