Organization
PALMETTO DENTURE CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRIS F JUST (BUSINESS MANAGER)
(864) 582-4308
Entity
Organization
Contact information
Practice address
975 N CHURCH ST, SPARTANBURG, SC 29303
(864) 582-4308
(864) 596-4492
Mailing address
975 N CHURCH ST, SPARTANBURG, SC 29303-4104
(864) 582-4308
(864) 596-4492
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5950162
—
NC
05
—
ZA9415
—
SC
Enumeration date
05/14/2008
Last updated
07/01/2009
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