Organization
SANDY SPRINGS DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JULIE CECELIA MARZOLF (VICE PRESIDENT)
(864) 261-3436
Entity
Organization
Contact information
Practice address
5302 HWY 76, PENDLETON, SC 29677-9139
(864) 261-3436
Mailing address
5302 HIGHWAY 76, PENDLETON, SC 29670-9139
(864) 261-3436
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2744
SC
Other
Enumeration date
05/30/2007
Last updated
08/22/2020
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