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Organization

NDS II, LLC

Active
Other names
Carolina Foothills Dental- Union
Organization subpart
No

Provider details

NPI number
Authorized official
BRENDA LYNN NEWMAN (INSURANCE COORDINATOR)
(864) 427-0397
Entity
Organization

Contact information

Practice address
216 S MOUNTAIN ST, UNION, SC 29379-2331
(864) 427-0397
(864) 427-8286
Mailing address
1000 E RUTHERFORD ST, LANDRUM, SC 29356-1727
(843) 757-2828
(843) 757-0595

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3451
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ZX3451
SC
Enumeration date
10/04/2013
Last updated
10/04/2013
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