Organization
MARC HEIDEN DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY WILLIAMSON (OFFICE MANAGER)
(843) 731-9182
Entity
Organization
Contact information
Practice address
105 WARLEY STREET, FLORENCE, SC 29501-4442
(843) 731-9182
Mailing address
105 WARLEY STREET, FLORENCE, SC 29501-4442
(843) 731-9182
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z30494
—
SC
Enumeration date
09/23/2016
Last updated
09/23/2016
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