Organization
H P BOZARD DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. H P BOZARD DDS (OWNER - PRESIDENT)
(803) 433-8090
Entity
Organization
Contact information
Practice address
17 EAST HOSPITAL STREET, MANNING, SC 29102
(803) 433-8090
Mailing address
PO BOX 178, MANNING, SC 29102
(803) 433-8090
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1415
SC
Other
Enumeration date
04/03/2007
Last updated
08/22/2020
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