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Organization

ADVANCED DERMATOLOGY AND LASER CENTER P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BEN M TREEN MD (PRESIDENT/OWNER)
(864) 295-3376
Entity
Organization

Contact information

Practice address
107 CLAIR DR, PIEDMONT, SC 29673-7771
(864) 295-3376
(864) 295-9117
Mailing address
107 CLAIR DR, PIEDMONT, SC 29673-7771
(864) 295-3376
(864) 295-9117

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
13943
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
139433
SC
01
1457466971
NPI INDIVIDUAL
SC
Enumeration date
09/24/2007
Last updated
09/07/2011
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