Individual
ANGELA BAILEY MCFADDEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
943 S IRBY ST, FLORENCE, SC 29501-5217
(843) 673-0075
(843) 673-0024
Mailing address
415 N GRAND AVE, PUEBLO, CO 81003-3111
(719) 546-3333
(719) 546-3334
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3177
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z31779
—
SC
Enumeration date
01/24/2006
Last updated
07/09/2007
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