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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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