114 Kershaw Dental, PC
NPI #1043699713 in Kershaw, South Carolina
Provider Information
- NPI Number
- 1043699713
- Entity Type
- Organization
- Organization Name
- 114 Kershaw Dental, PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 27, 2015
- Last Updated
- May 27, 2015
Practice Location
- Address
- 114 E HILTON ST
- City
- Kershaw
- State
- South Carolina
- ZIP Code
- 29067-1318
- Phone
- (803) 475-6052
Authorized Official
- Name
- MATTHEW COOK
- Title
- OWNER
- Phone
- (803) 479-1795
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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