Organization
CRESTVIEW FAMILY DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN JOHN VAN DE GRAAFF DDS (DENTIST)
(402) 249-0002
Entity
Organization
Contact information
Practice address
99 CRESTVIEW DR, NORTH AUGUSTA, SC 29841-4701
(402) 249-0002
Mailing address
99 CRESTVIEW DR, NORTH AUGUSTA, SC 29841-4701
(803) 593-5386
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DGD 8744
SC
Other
Enumeration date
07/08/2016
Last updated
08/05/2016
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