Organization
DWH DENTAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL WESLEY HALL DMD (PRESIDENT)
(864) 847-4545
Entity
Organization
Contact information
Practice address
312 WILLIAMS ST, WILLIAMSTON, SC 29697-1900
(864) 847-4545
Mailing address
312 WILLIAMS ST, WILLIAMSTON, SC 29697-1900
(864) 847-4545
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
SC8579
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX8579
—
SC
Enumeration date
07/30/2018
Last updated
07/30/2018
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