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Organization

THE BRACES PLACE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT F. GARRISON DMD (OWNER)
(803) 661-8468
Entity
Organization

Contact information

Practice address
502 N LAKE DR, LEXINGTON, SC 29072-2806
(803) 359-4480
Mailing address
502 N LAKE DR, LEXINGTON, SC 29072-2806
(803) 359-4480

Taxonomy

Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
302494
SC

Other

Enumeration date
02/17/2014
Last updated
02/17/2014
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