Organization
EARL B HARTZOG DMD PA
Active
Other names
Orangeburg Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EARL BARRETT HARTZOG DMD (PRESIDENT)
(843) 560-1543
Entity
Organization
Contact information
Practice address
1380 PARK ST, ORANGEBURG, SC 29115-4880
(803) 536-9300
(803) 536-6922
Mailing address
1380 PARK ST, ORANGEBURG, SC 29115-4880
(803) 536-9300
(803) 536-6922
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4591
SC
Other
Enumeration date
06/18/2015
Last updated
06/18/2015
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