Individual
DR. PATRICIA JORDAN FAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1507 HERITAGE LN, SUITE A, FLORENCE, SC 29505-3141
(843) 665-4477
Mailing address
904 MOHAWK DR, FLORENCE, SC 29501-5705
(843) 269-4266
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8068
SC
Other
Enumeration date
07/11/2012
Last updated
11/17/2016
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