Organization
CRESCENT FAMILY AND COSMETIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THADDEUS HOUCK VINCENT JR. DMD (DOCTOR/OWNER)
(803) 773-5411
Entity
Organization
Contact information
Practice address
434 N GUIGNARD DR, SUMTER, SC 29150-4011
(803) 773-5411
Mailing address
434 N GUIGNARD DR, SUMTER, SC 29150-4011
(803) 773-5411
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/10/2024
Last updated
10/22/2024
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