Individual
DR. DAN RUSSELL YARBROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
100A COMMERCE DRIVE, WALTERBORO, SC 29488
(843) 549-7422
(843) 549-6017
Mailing address
100A COMMERCE DRIVE, WALTERBORO, SC 29488
(843) 549-7422
(843) 549-6017
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2768
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z27686
—
SC
Enumeration date
03/29/2007
Last updated
07/08/2007
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