Organization
FLORENCE PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY C. ELVINGTON D. M. D. (DENTIST)
(843) 661-5700
Entity
Organization
Contact information
Practice address
680 SENIOR WAY, FLORENCE, SC 29505
(843) 661-5700
(843) 661-5710
Mailing address
680 SENIOR WAY, FLORENCE, SC 29505
(843) 661-5700
(843) 661-5710
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3963
SC
Other
Enumeration date
06/16/2010
Last updated
09/06/2013
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