Clarendon Family Dentistry INC

NPI #1740445253 in Manning, South Carolina

Provider Information

NPI Number: 1740445253
Entity Type: Organization
Organization Name: Clarendon Family Dentistry INC
Primary Specialty: Dentist
Enumeration Date: Jul 23, 2008
Last Updated: Jul 23, 2008

Practice Location

Address: 17 E HOSPITAL ST
City: Manning
State: South Carolina
ZIP Code: 29102-3152
Phone: (803) 433-8090

Authorized Official

Name: DEREK L LEE, DMD
Title: OWNER
Phone: (803) 433-8090

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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