Individual
DR. GOLDEN ROSE HARTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
30 BEE ST, CHARLESTON, SC 29425-8908
(904) 422-0024
Mailing address
145 MOULTRIE ST, CHARLESTON, SC 29403-4352
(904) 422-0024
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN20234
FL
1223G0001X
General Practice Dentistry
DN20234
FL
Other
Enumeration date
02/11/2013
Last updated
04/17/2018
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