Organization
AUSTIN AND TEAGUE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRYSTAL MYERS TEAGUE D.M.D. (DENTIST)
(803) 684-6545
Entity
Organization
Contact information
Practice address
9 W MADISON ST, YORK, SC 29745-1143
(803) 684-6545
Mailing address
PO BOX 397, YORK, SC 29745-0397
(803) 684-6545
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
4367
SC
122300000X
Dentist
Primary
4599
SC
Other
Enumeration date
07/20/2012
Last updated
07/20/2012
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