Organization
HALTON ROAD FAMILY DENTISTRY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRI GAUL (OFFICE STAFF)
(864) 289-9752
Entity
Organization
Contact information
Practice address
155A HALTON RD, GREENVILLE, SC 29607-3507
(864) 289-9752
(864) 297-9053
Mailing address
155A HALTON RD, GREENVILLE, SC 29607-3507
(864) 289-9752
(864) 297-9053
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2313
SC
Other
Enumeration date
12/10/2009
Last updated
12/10/2009
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