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Organization

FLAT ROCK FAMILY DENTISTRY, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRIS ROUSE D.M.D. (DENTIST)
(864) 297-5268
Entity
Organization

Contact information

Practice address
1803 WOODRUFF RD, GREENVILLE, SC 29607-5936
(864) 297-5268
Mailing address
1803 WOODRUFF RD, GREENVILLE, SC 29607-5936
(864) 297-5268

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3762
SC

Other

Enumeration date
12/20/2007
Last updated
12/20/2007
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