Organization
EARL B HARTZOG DMD PA
Active
Parent organization
EARL B HARTZOG DMD PA
Other names
Denmark Family Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
EARL B HARTZOG DMD PA
Authorized official
DR. EARL BARRETT HARTZOG DMD (PRESIDENT)
(843) 560-1543
Entity
Organization
Contact information
Practice address
5576 CAROLINA HWY, DENMARK, SC 29042-2238
(803) 793-3365
Mailing address
5576 CAROLINA HWY, DENMARK, SC 29042-2238
(803) 793-3365
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4591
SC
Other
Enumeration date
07/07/2015
Last updated
07/19/2015
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