Organization
RESTORATIVE ARTS DENTAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GROVER RABON (OWNER)
(803) 905-3567
Entity
Organization
Contact information
Practice address
669B W WESMARK BLVD, SUMTER, SC 29150-1900
(803) 905-3567
Mailing address
669B W WESMARK BLVD, SUMTER, SC 29150-1900
(803) 905-3567
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/30/2023
Last updated
03/30/2023
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