Organization
FAMILY ORTHODONTICS OF ANDERSON
Active
Parent organization
ASHBY PARK PEDIATRIC DENTISTRY LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASHBY PARK PEDIATRIC DENTISTRY LLC
Authorized official
CRYSTAL VANDERLIND (OFFICE STAFF)
(864) 437-8606
Entity
Organization
Contact information
Practice address
3416 N HIGHWAY 81, ANDERSON, SC 29621-3628
(864) 437-8606
(864) 437-8628
Mailing address
3416 N HIGHWAY 81, ANDERSON, SC 29621-3628
(864) 437-8606
(864) 437-8628
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3638
SC
Other
Enumeration date
03/02/2016
Last updated
03/02/2016
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