Organization
ARTISTIC IMPRESSIONS COSMETIC AND FAMILY DENTISTRY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CALVIN VICTOR BOYKIN JR. D.M.D. (OWNER)
(864) 306-8350
Entity
Organization
Contact information
Practice address
223 DAYTON SCHOOL RD, SUITE 103, EASLEY, SC 29642-1447
(864) 306-8350
(864) 306-8587
Mailing address
223 DAYTON SCHOOL RD, SUITE 103, EASLEY, SC 29642-1447
(864) 306-8350
(864) 306-8587
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4113
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX4113
—
SC
Enumeration date
11/17/2009
Last updated
12/08/2009
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