Organization
CAROLINA DENTAL DOCS - ON - THE - GO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER SNOW (CREDENTIALING COORDINATOR)
(770) 382-3536
Entity
Organization
Contact information
Practice address
111 POWELL MILL RD, SPARTANBURG, SC 29301-1590
(864) 641-0495
(864) 707-2133
Mailing address
111 POWELL MILL RD, SPARTANBURG, SC 29301-1590
(864) 641-0495
(864) 707-2133
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/10/2015
Last updated
08/10/2015
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