Organization
GOLDEN CORNER DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES BRUCE (DENTIST/OWNER)
(864) 638-7733
Entity
Organization
Contact information
Practice address
102 LUSK DR, WEST UNION, SC 29696-2629
(864) 638-7733
(864) 718-7162
Mailing address
PO BOX 1778, WEST UNION, SC 29696-1778
(864) 638-7733
(864) 718-7162
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4506
SC
Other
Enumeration date
07/17/2015
Last updated
07/17/2015
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