Organization
AT YOUR HOME DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA MCFADDEN DMD (DENTIST)
(803) 771-2600
Entity
Organization
Contact information
Practice address
810 DUTCH SQUARE BLVD, SUITE 104, COLUMBIA, SC 29210-7318
(803) 771-2600
(516) 665-5588
Mailing address
311 PLANTATION DR, LEXINGTON, SC 29072-7925
(803) 771-2600
(516) 665-5588
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3177
SC
Other
Enumeration date
02/18/2009
Last updated
02/18/2009
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