Organization
SPARTANBURG PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES AUSTIN BIRCH D.M.D. (OWNER)
(864) 381-7731
Entity
Organization
Contact information
Practice address
1575 SKYLYN DR, SPARTANBURG, SC 29307-1034
(864) 381-7731
Mailing address
1575 SKYLYN DR, SPARTANBURG, SC 29307-1034
(864) 381-7731
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
06/10/2010
Last updated
10/19/2010
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