Organization
LIVE OAK AESTHETIC & FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY EDWARD GARRITY DMD (PRESIDENT)
(803) 905-6700
Entity
Organization
Contact information
Practice address
2545 TAHOE DR, SUMTER, SC 29150-1861
(803) 905-6700
(803) 905-6703
Mailing address
2545 TAHOE DR, SUMTER, SC 29150-1861
(803) 905-6700
(803) 905-6703
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3803
SC
Other
Enumeration date
12/10/2012
Last updated
12/21/2012
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