Organization
TYLAN CREEK FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARRYL LEA HALBERT D.M.D (PRESIDENT)
(864) 630-9103
Entity
Organization
Contact information
Practice address
2710 HIGHWAY 153, PIEDMONT, SC 29673-6720
(864) 962-6671
(864) 962-6683
Mailing address
2710 HIGHWAY 153, PIEDMONT, SC 29673-6720
(864) 962-6671
(864) 962-6683
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2867
SC
Other
Enumeration date
03/28/2014
Last updated
03/28/2014
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