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Organization

ESTATE OF WILLIAM J BIGGINS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KATHY LYNN DICKSON (PERSONAL REPRESENTATIVE)
(803) 432-3571
Entity
Organization

Contact information

Practice address
1015 FAIR STREET, CAMDEN, SC 29020
(803) 432-3571
(803) 432-2625
Mailing address
1015 FAIR STREET, CAMDEN, SC 29020
(803) 432-3571
(803) 432-2625

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
3223
SC
1223G0001X
General Practice Dentistry
4459
SC
1223G0001X
General Practice Dentistry
6938
SC
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2722
SC

Other

Enumeration date
08/14/2014
Last updated
08/15/2014
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