Organization
EARL B HARTZOG DMD PA
Active
Other names
Hampton Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EARL B HARTZOG DMD (PRESIDENT)
(803) 793-3653
Entity
Organization
Contact information
Practice address
649 WEST CAROLINA AVE, VARNVILLE, SC 29944
(803) 943-4895
Mailing address
649 WEST CAROLINA AVE, VARNVILLE, SC 29944
(803) 943-4895
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8740
SC
Other
Enumeration date
08/11/2016
Last updated
09/02/2016
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