Organization
FIVE FORKS DENTAL CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTINA LYNN HAPNEY DMD (PRESIDENT)
(864) 289-0289
Entity
Organization
Contact information
Practice address
2833 WOODRUFF RD, SIMPSONVILLE, SC 29681-4807
(864) 289-0289
Mailing address
2833 WOODRUFF RD, SIMPSONVILLE, SC 29681-4807
(864) 289-0289
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4144
SC
Other
Enumeration date
03/19/2007
Last updated
08/16/2010
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