Organization
DAN R YARBROUGH,D.M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAN R YARBROUGH D.M.D. (OWNER)
(843) 549-7422
Entity
Organization
Contact information
Practice address
100 COMMERCE ST # A, WALTERBORO, SC 29488-2943
(843) 549-7422
(843) 549-6017
Mailing address
100 COMMERCE ST # A, WALTERBORO, SC 29488-2943
(843) 549-7422
(843) 549-6017
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2768
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA9892
—
SC
Enumeration date
06/18/2007
Last updated
06/17/2008
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