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Organization

JOHN C BILDER DMD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN C BILDER (DMD)
(843) 464-2099
Entity
Organization

Contact information

Practice address
410 SOUTH MAIN STREET, MULLINS, SC 29574
(843) 464-2099
(843) 464-4432
Mailing address
410 SOUTH MAIN STREET, MULLINS, SC 29574
(843) 464-2099
(843) 464-4432

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
SC2391
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
444915
SC
05
8990714
NC
05
ZA9417
SC
Enumeration date
03/06/2007
Last updated
06/20/2008
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