Welvista
NPI #1033290937 in Fairfax, South Carolina
Provider Information
- NPI Number
- 1033290937
- Entity Type
- Organization
- Organization Name
- Welvista
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 18, 2006
- Last Updated
- Sep 20, 2017
Practice Location
- Address
- 3269 ALLENDALE FAIRFAX HWY
- City
- Fairfax
- State
- South Carolina
- ZIP Code
- 29827-9163
- Phone
- (803) 584-4803
Authorized Official
- Name
- MRS. GEORGIA BENNETT FAMULINER
- Title
- OPERATIONS DIRECTOR
- Phone
- (803) 584-4803
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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