Organization
FAIRFIELD FAMILY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEIL THOMAS WRENN D.M.D. (DENTIST/OWNER)
(803) 815-1077
Entity
Organization
Contact information
Practice address
123 US HIGHWAY 321 BYP S, WINNSBORO, SC 29180-7047
(803) 815-1077
(803) 815-0098
Mailing address
123 US HIGHWAY 321 BYP S, WINNSBORO, SC 29180-7047
(803) 815-1077
(803) 815-0098
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6989
SC
Other
Enumeration date
10/11/2011
Last updated
10/11/2011
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