Individual
HAIN JOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1950 W MAIN ST, CENTRAL, SC 29630
(864) 654-3156
(864) 654-3156
Mailing address
PO BOX 1168, CENTRAL, SC 29630-1168
(864) 654-3156
(864) 654-3291
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2732
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA9829
—
SC
Enumeration date
04/19/2007
Last updated
07/08/2007
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