Earl B Hartzog Dmd PA

NPI #1588047724 in Denmark, South Carolina

Provider Information

NPI Number
1588047724
Entity Type
Organization
Organization Name
Earl B Hartzog Dmd PA
Subpart
Yes (part of a larger organization)
Parent Organization
EARL B HARTZOG DMD PA
Primary Specialty
Dentist - General Practice
Enumeration Date
Jul 7, 2015
Last Updated
Jul 19, 2015

Practice Location

Address
5576 CAROLINA HWY
ZIP Code
29042-2238
Phone
(803) 793-3365

Authorized Official

Name
DR. EARL BARRETT HARTZOG, DMD
Title
PRESIDENT
Phone
(843) 560-1543

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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