Organization
MAULDIN SQUARE DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA BAKER RDH (OPERATIONS MANAGER)
(864) 855-2788
Entity
Organization
Contact information
Practice address
211 E BUTLER RD STE B3, MAULDIN, SC 29662-2170
(864) 855-2788
Mailing address
105 FLEETWOOD DR, EASLEY, SC 29640-2019
(864) 855-2788
(864) 855-2789
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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