Organization
DENTAL PROFESSIONALS OF SOUTH CAROLINA, PC
Active
Parent organization
DENTAL PROFESSIONALS OF SOUTH CAROLINA, PC
Other names
Eastside General Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF SOUTH CAROLINA, PC
Authorized official
KAM SHICK (INSURANCE COORDINATOR)
(217) 540-5141
Entity
Organization
Contact information
Practice address
2445 E MAIN ST, SPARTANBURG, SC 29307-1415
(864) 579-7833
(864) 590-5364
Mailing address
2445 E MAIN ST, SPARTANBURG, SC 29307-1415
(864) 579-7833
(864) 590-5364
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/21/2011
Last updated
04/21/2011
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