Organization
EASTSIDE FAMILY DENTAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WESLEY HARDEN DMD (DENTIST)
(864) 246-1811
Entity
Organization
Contact information
Practice address
3620 E RIVER ST, ANDERSON, SC 29621-7334
(864) 261-3132
Mailing address
3620 E RIVER ST, ANDERSON, SC 29621-7334
(864) 261-3132
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4272
SC
122300000X
Dentist
7141
SC
Other
Enumeration date
06/21/2012
Last updated
06/21/2012
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