Organization
FOOTHILLS FAMILY DENTAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM ARISTIDES MALONE DMD (DENTIST)
(864) 439-6559
Entity
Organization
Contact information
Practice address
206 ELLIOTT RD, LYMAN, SC 29365-1620
(864) 439-6559
(864) 439-1905
Mailing address
206 ELLIOTT RD, LYMAN, SC 29365-1620
(864) 439-6559
(864) 439-1905
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4711
SC
Other
Enumeration date
05/26/2011
Last updated
05/26/2011
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