Dutch Fork Family Dentistry, PA
NPI #1104166792 in Irmo, South Carolina
Provider Information
- NPI Number
- 1104166792
- Entity Type
- Organization
- Organization Name
- Dutch Fork Family Dentistry, PA
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Feb 19, 2013
- Last Updated
- Feb 19, 2013
Practice Location
- Address
- 7436 BROAD RIVER RD STE 111
- City
- Irmo
- State
- South Carolina
- ZIP Code
- 29063-7601
- Phone
- (803) 749-3333
Authorized Official
- Name
- DR. SHERRY BENENHALEY RAUCH, DDS
- Title
- PRESIDENT
- Phone
- (803) 749-3333
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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