Individual
DR. WINFERD DALE HOLT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10 RICHLAND MEDICAL PARK DR STE A, COLUMBIA, SC 29203-6892
(803) 434-6567
(803) 434-6299
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10149
SC
1223G0001X
General Practice Dentistry
10149
SC
Other
Enumeration date
06/13/2022
Last updated
01/22/2024
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