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Organization

PALMETTO FAMILY ORTHODONTICS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID F WATSON III DMD MPH (CO-OWNER)
(864) 335-0505
Entity
Organization

Contact information

Practice address
105 HALTON VILLAGE CIR, SUITE B, GREENVILLE, SC 29607-6833
(864) 335-0505
(864) 335-0508
Mailing address
105 HALTON VILLAGE CIR, SUITE B, GREENVILLE, SC 29607-6833
(864) 335-0505
(864) 335-0508

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
4287
SC
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
681
SC

Other

Enumeration date
10/18/2007
Last updated
11/13/2012
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