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Organization

EARL B HARTZOG DMD PA

Active
Other names
Denmark Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EARL B HARTZOG DMD (PRESIDENT)
(843) 560-0639
Entity
Organization

Contact information

Practice address
17652 HERITAGE HWY, DENMARK, SC 29042-1469
(803) 793-3653
(803) 753-9777
Mailing address
17652 HERITAGE HWY, DENMARK, SC 29042-1469
(803) 793-3653

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4591
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ZX4591
SC
Enumeration date
02/03/2010
Last updated
09/13/2022
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