Organization
PIEDMONT FAMILY DENTISTRY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY F MINOR (OFFICE MANAGER)
(864) 227-6911
Entity
Organization
Contact information
Practice address
3404 COKESBURY RD, HODGES, SC 29653-9181
(864) 227-6911
Mailing address
3404 COKESBURY RD, HODGES, SC 29653-9181
(864) 227-6911
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3093
SC
Other
Enumeration date
04/30/2008
Last updated
04/30/2008
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