Organization
DENTAL PROFESSIONALS OF SOUTH CAROLINA, PC
Active
Parent organization
DENTAL PROFESSIONALS OF SOUTH CAROLINA, PC
Other names
Harrison Bridge Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF SOUTH CAROLINA, PC
Authorized official
KENDRA WALKER (CREDENTIALING TEAM LEAD)
(217) 540-8312
Entity
Organization
Contact information
Practice address
340 HARRISON BRIDGE RD, SUITE D, SIMPSONVILLE, SC 29680-7133
(864) 568-3294
Mailing address
340 HARRISON BRIDGE RD, SUITE D, SIMPSONVILLE, SC 29680-7133
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/23/2016
Last updated
02/23/2016
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