Individual
DR. PAUL YATES IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1118 WOODRUFF RD STE C, GREENVILLE, SC 29607-4134
(186) 425-2393
Mailing address
24 GATLING AVE, GREENVILLE, SC 29605-2005
(646) 504-4074
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DGD.9661GD
SC
Other
Enumeration date
06/30/2020
Last updated
06/30/2020
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