Upstate Periodontics, PA
NPI #1386859262 in Clemson, South Carolina
Provider Information
- NPI Number
- 1386859262
- Entity Type
- Organization
- Organization Name
- Upstate Periodontics, PA
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- May 13, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 214 FRONTAGE RD
- City
- Clemson
- State
- South Carolina
- ZIP Code
- 29631-1642
- Phone
- (864) 654-3416
Authorized Official
- Name
- DR. DAVID CHRISTOPHER GARRISON SR., D.M.D.
- Title
- PERIODONTIST
- Phone
- (864) 654-3416
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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