Organization
PALMETTO DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG S WIX DMD (MEMBER)
(803) 259-7645
Entity
Organization
Contact information
Practice address
53 IRVING ST, BARNWELL, SC 29812-1535
(803) 259-7645
Mailing address
PO BOX 846, BARNWELL, SC 29812-0846
(803) 259-7645
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4139
SC
Other
Enumeration date
05/17/2013
Last updated
05/17/2013
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