Organization
HAMPTON PARK DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAN BARACZEK DMD (GENERAL DENTIST)
(803) 271-8221
Entity
Organization
Contact information
Practice address
700 RUTLEDGE AVE # A, CHARLESTON, SC 29403-4145
(843) 801-9933
Mailing address
201 COMING ST, CHARLESTON, SC 29403-5438
(803) 271-8221
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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