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Individual

DR. EARL BARRETT HARTZOG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
174 BEECH AVE, DENMARK, SC 29042
(803) 793-3653
(803) 793-0927
Mailing address
174 BEECH AVE, DENMARK, SC 29042
(803) 793-3653
(803) 793-0927

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4591
SC

Other

Enumeration date
06/08/2009
Last updated
03/01/2010
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