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Organization

MEDICAL PARK DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHRISTOPHER CHARLES (COO)
(843) 557-5396
Entity
Organization

Contact information

Practice address
2039 MEDICAL PARK DR, NEWBERRY, SC 29108-2249
(803) 276-3371
Mailing address
PO BOX 699, CHAPIN, SC 29036-0699
(843) 557-5396

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
07/07/2022
Last updated
07/07/2022
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