Organization
WOOD CREEK DENTAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALE EDISON HUNT DDS (PRESIDENT)
(864) 288-5300
Entity
Organization
Contact information
Practice address
2101 PELHAM ROAD, GRANVILLE, SC 29615
(864) 288-5300
(864) 288-9430
Mailing address
PO BOX 25604, 2101 PELHAM ROAD, GRANVILLE, SC 29615
(864) 288-5300
(864) 288-9430
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2234
SC
122300000X
Dentist
3913
SC
122300000X
Dentist
4194
SC
Other
Enumeration date
08/04/2006
Last updated
08/22/2020
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