Organization
PARKSIDE DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MONEYHUN DMD (PRESIDENT)
(864) 457-3901
Entity
Organization
Contact information
Practice address
502 E RUTHERFORD ST, LANDRUM, SC 29356-1632
(864) 457-3901
Mailing address
502 E RUTHERFORD ST, LANDRUM, SC 29356-1632
(864) 457-3901
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/21/2020
Last updated
07/21/2020
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