Organization
CLARENDON FAMILY DENTISTRY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK L LEE DMD (OWNER)
(803) 433-8090
Entity
Organization
Contact information
Practice address
17 E HOSPITAL ST, MANNING, SC 29102-3152
(803) 433-8090
Mailing address
17 E HOSPITAL ST, PO BOX 428, MANNING, SC 29102-3152
(803) 433-8090
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4463
SC
Other
Enumeration date
07/23/2008
Last updated
07/23/2008
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