Organization
DENTAL PROFESSIONALS OF SC, PC
Active
Parent organization
DENTAL PROFESSIONALS OF SC, PC
Other names
Family Dental Care of Powdersville
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF SC, PC
Authorized official
KENDRA WALKER (CREDENTIALING COORDINATOR)
(217) 540-8312
Entity
Organization
Contact information
Practice address
132 MCNEELY RD, POWDERSVILLE, SC 29673-9430
(864) 509-0040
Mailing address
132 MCNEELY RD, POWDERSVILLE, SC 29673-9430
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/02/2015
Last updated
08/04/2015
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