Organization
TRINITY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE BERKOWITZ (MANGER)
(864) 225-6321
Entity
Organization
Contact information
Practice address
1221 N FANT ST, ANDERSON, SC 29621-4821
(864) 224-4736
(864) 752-1631
Mailing address
PO BOX 202, ANDERSON, SC 29622-0202
(864) 224-4736
(864) 752-1631
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
3151
SC
Other
Enumeration date
01/09/2012
Last updated
01/09/2012
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