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Individual

JARED EARL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
1111 W O EZELL BLVD, SPARTANBURG, SC 29301-1655
(864) 576-0947
Mailing address
1111 W O EZELL BLVD, SPARTANBURG, SC 29301-1655

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DGD.8604 GD
SC

Other

Enumeration date
07/20/2015
Last updated
07/20/2015
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