Earl B Hartzog Dmd PA

NPI #1093047896 in Denmark, South Carolina

Provider Information

NPI Number: 1093047896
Entity Type: Organization
Organization Name: Earl B Hartzog Dmd PA
Primary Specialty: Dentist
Enumeration Date: Feb 3, 2010
Last Updated: Sep 13, 2022

Practice Location

Address: 17652 HERITAGE HWY
City: Denmark
State: South Carolina
ZIP Code: 29042-1469
Phone: (803) 793-3653

Authorized Official

Name: DR. EARL B HARTZOG, DMD
Title: PRESIDENT
Phone: (843) 560-0639

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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