Organization
HOLLY TREE PEDIATRIC DENTISTRY
Active
Other names
Holly Tree Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
ANN BYNUM DDS (PRESIDENT)
(864) 297-5585
Entity
Organization
Contact information
Practice address
1334 HIGHWAY 14, SIMPSONVILLE, SC 29681-5659
(864) 297-5585
(864) 297-4166
Mailing address
1334 HIGHWAY 14, SIMPSONVILLE, SC 29681-5659
(864) 297-5585
(864) 297-4166
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3427
SC
Other
Enumeration date
03/19/2015
Last updated
02/29/2024
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