Organization
PALMETTO PROSTHODONTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON MINTON DMD (PRESIDENT)
(864) 757-9433
Entity
Organization
Contact information
Practice address
145 WOODRUFF PLACE CIR, SIMPSONVILLE, SC 29681-3672
(864) 757-9433
Mailing address
145 WOODRUFF PLACE CIR, SIMPSONVILLE, SC 29681-3672
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
7043
SC
Other
Enumeration date
02/05/2015
Last updated
02/05/2015
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