Organization
IRBY STREET DENTAL HEALTH CENTER, P.C.
Active
Other names
PeeDee Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DAN SPEARS (OWNER/PRESIDENT)
(843) 673-0075
Entity
Organization
Contact information
Practice address
943 S IRBY ST UNIT A, FLORENCE, SC 29501-5238
(843) 673-0075
Mailing address
943 S IRBY ST UNIT A, FLORENCE, SC 29501-5238
(843) 673-0075
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2464
SC
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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