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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