Dental Professionals of South Carolina, P.c.
NPI #1619423449 in Clover, South Carolina
Provider Information
- NPI Number
- 1619423449
- Entity Type
- Organization
- Organization Name
- Dental Professionals of South Carolina, P.c.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- DENTAL PROFESSIONALS OF SOUTH CAROLINA, P.C.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 31, 2016
- Last Updated
- Jan 9, 2017
Practice Location
- Address
- 209 LATITUDE LANE
- City
- Clover
- State
- South Carolina
- ZIP Code
- 29710
- Phone
- (803) 619-4511
Authorized Official
- Name
- KENDRA WALKER
- Title
- CREDENTIALING TEAM LEAD
- Phone
- (217) 540-8312
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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