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Organization

WALSH DENTAL ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GARY WARREN WALSH JR. D.M.D. (OWNER/PRESIDENT)
(864) 852-2571
Entity
Organization

Contact information

Practice address
219B N MINE ST, MC CORMICK, SC 29835-8363
(864) 852-2571
(864) 852-2674
Mailing address
219B N MINE ST, MC CORMICK, SC 29835-8363
(864) 852-2571
(864) 852-2674

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3739
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ZX3739
SC
Enumeration date
04/16/2010
Last updated
04/16/2010
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