Organization
PALMETTO DENTAL STUDIO PELZER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDY R BUTCHER DMD (OWNER)
(864) 947-9886
Entity
Organization
Contact information
Practice address
112 HIGHWAY 20 S, PELZER, SC 29669-1509
(864) 947-9886
(864) 947-4323
Mailing address
PO BOX 456, PELZER, SC 29669-0456
(864) 947-9886
(864) 947-4323
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4203
SC
Other
Enumeration date
08/25/2014
Last updated
08/25/2014
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