Organization
ROBERT M. HABERKORN DDS
Active
Other names
Southern Edge Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT M HABERKORN DDS, MBA (OWNER)
(803) 632-3301
Entity
Organization
Contact information
Practice address
1987 ALLENDALE FAIRFAX HWY., FAIRFAX, SC 29827
(803) 632-3301
Mailing address
P.O. BOX 368, FAIRFAX, SC 29827
(803) 632-3301
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6951
SC
Other
Enumeration date
10/18/2011
Last updated
12/05/2011
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