Honea Path Family Dentistry, PA
NPI #1659561439 in Honea Path, South Carolina
Provider Information
- NPI Number
- 1659561439
- Entity Type
- Organization
- Organization Name
- Honea Path Family Dentistry, PA
- Primary Specialty
- Dentist
- Enumeration Date
- Jul 27, 2007
- Last Updated
- Mar 15, 2013
Practice Location
- Address
- 322 N SHIRLEY AVE
- City
- Honea Path
- State
- South Carolina
- ZIP Code
- 29654-1636
- Phone
- (864) 369-2966
Authorized Official
- Name
- DR. SHANNON B. WILSON, DMD
- Title
- DENTIST
- Phone
- (864) 369-2966
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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