Organization
DENTAL PROFESSIONALS OF SC, PC
Active
Parent organization
DENTAL PROFESSIONALS OF SC, PC
Other names
Electric City Dental Care
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
3500 CLEMSON BLVD, ANDERSON, SC 29621-1313
(864) 401-8448
Mailing address
3500 CLEMSON BLVD, ANDERSON, SC 29621-1313
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/15/2014
Last updated
06/05/2014
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