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Organization

JOHN P WALDRON DDS PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN P WALDRON DDS (OWNER)
(843) 248-2187
Entity
Organization

Contact information

Practice address
1004 BUCK ST, CONWAY, SC 29526
(843) 248-2187
(843) 248-5051
Mailing address
1004 BUCK ST, CONWAY, SC 29526
(843) 248-2187
(843) 248-5051

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1773
SC

Other

Enumeration date
03/05/2010
Last updated
03/05/2010
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