Organization
DR. GARY A. WAUGH D.M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY ANDREW WAUGH D.M.D. (OWNER)
(803) 278-2223
Entity
Organization
Contact information
Practice address
503 W MARTINTOWN RD, NORTH AUGUSTA, SC 29841-3108
(803) 278-2223
(803) 278-2636
Mailing address
503 W MARTINTOWN RD, NORTH AUGUSTA, SC 29841-3108
(803) 278-2223
(803) 278-2636
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2065
SC
Other
Enumeration date
09/26/2006
Last updated
08/06/2008
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