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Organization

CHERAW FAMILY DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM ROACHEL LANEY (OWNER)
(843) 537-9044
Entity
Organization

Contact information

Practice address
3137 HWY 9 W, CHERAW, SC 29520
(843) 537-9044
(843) 537-5853
Mailing address
PO BOX 1466, 3137 HWY 9 W, CHERAW, SC 29520
(843) 537-9044
(843) 537-5853

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
4509
SC
1223G0001X
General Practice Dentistry
Primary
1642
SC
1223G0001X
General Practice Dentistry

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ZX1642
SC
Enumeration date
10/16/2008
Last updated
10/16/2008
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