Palms Dentistry 225, LLC
NPI #1669838991 in Fountain Inn, South Carolina
Provider Information
- NPI Number
- 1669838991
- Entity Type
- Organization
- Organization Name
- Palms Dentistry 225, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 31, 2015
- Last Updated
- Dec 31, 2015
Practice Location
- Address
- 208 HARRISON BRIDGE ROAD
- City
- Fountain Inn
- State
- South Carolina
- ZIP Code
- 29644
- Phone
- (864) 243-8371
Authorized Official
- Name
- BRIAN DERRICK
- Title
- OWNER/DENTIST
- Phone
- (864) 243-8371
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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|---|---|
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