Organization
UPSTATE PERIODONTICS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID CHRISTOPHER GARRISON SR. D.M.D. (PERIODONTIST)
(864) 654-3416
Entity
Organization
Contact information
Practice address
214 FRONTAGE RD, CLEMSON, SC 29631-1642
(864) 654-3416
(864) 654-3384
Mailing address
PO BOX 1804, CLEMSON, SC 29633
(864) 654-3416
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2267
SC
Other
Enumeration date
05/13/2007
Last updated
08/22/2020
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