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Organization

ST STEPHEN FAMILY DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TRISTAN MILTON CORDRAY DMD (OWNER)
(843) 567-2900
Entity
Organization

Contact information

Practice address
1142 MAIN STREET, ST STEPHEN, SC 29479-3996
(843) 567-2900
(843) 567-2099
Mailing address
PO BOX 1710, 1142 MAIN STREET, ST STEPHEN, SC 29479-3996
(843) 567-2900
(843) 567-2900

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4328
SC

Other

Enumeration date
08/13/2007
Last updated
08/13/2007
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