Organization
EARL B HARTZOG DMD PA
Active
Other names
Estill Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EARL B HARTZOG DMD (PRESIDENT)
(803) 793-3653
Entity
Organization
Contact information
Practice address
123 CATHERINE AVENUE NORTH, ESTILL, SC 29918
(803) 625-3640
(803) 625-4382
Mailing address
474 NORTH ST, BAMBERG, SC 29003-1318
(803) 245-5545
(803) 245-5534
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4591
SC
Other
Enumeration date
10/01/2013
Last updated
10/01/2013
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