Organization
DENTAL ASSOCIATES OF HOLLY HILL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN ANDERSON BISHOP JR. D.D.S. (PRESTIDENT)
(803) 496-5093
Entity
Organization
Contact information
Practice address
912 HOLLY STREET, HOLLY HILL, SC 29059-0606
(803) 496-5093
(803) 496-5093
Mailing address
PO BOX 606, HOLLY HILL, SC 29059-0606
(803) 496-5093
(803) 496-5093
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DC41076-1
SC
Other
Enumeration date
03/08/2007
Last updated
08/22/2020
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