Organization
KEVIN NIETZER DMD PA
Active
Other names
Anderson Pediatric Dentistry PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN NIETZER DMD (OWNER/PEDIATRIC DENTIST)
(617) 997-5902
Entity
Organization
Contact information
Practice address
198 MUTUAL DR, ANDERSON, SC 29621-1767
(864) 760-1440
(864) 226-9709
Mailing address
198 MUTUAL DR, ANDERSON, SC 29621-1767
(864) 760-1440
(864) 226-9709
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
7003
SC
Other
Enumeration date
10/11/2017
Last updated
10/11/2017
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