Organization
KEOWEE FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL H DAVIS D.M.D (PRESIDENT)
(864) 885-9585
Entity
Organization
Contact information
Practice address
241 STORK WAY, SENECA, SC 29678-1039
(864) 885-9585
(864) 885-0975
Mailing address
241 STORK WAY, SENECA, SC 29678-1039
(864) 885-9585
(864) 885-0975
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3729
SC
Other
Enumeration date
07/13/2006
Last updated
08/22/2020
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