DR. Samuel James Ta JR., DMD

NPI #1740702091 in Florence, South Carolina

Provider Information

NPI Number: 1740702091
Entity Type: Individual
Name: DR. Samuel James Ta JR., DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Jul 7, 2017
Last Updated: Jul 7, 2017

Practice Location

Address: 1519 HERITAGE LN
City: Florence
State: South Carolina
ZIP Code: 29505-3141
Phone: (843) 664-8777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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