Organization
AIKEN FAMILY DENTAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE ALLEN HOLDORF DMD (PRESIDENT)
(803) 649-0044
Entity
Organization
Contact information
Practice address
341 NEWBERRY STREET NW, AIKEN, SC 29801
(803) 649-0044
(803) 643-0570
Mailing address
PO BOX 1057, AIKEN, SC 29802-1057
(803) 649-0044
(803) 643-0570
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/25/2006
Last updated
08/22/2020
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