Earl B Hartzog Dmd Pa

NPI 1093047896 - Dentist - 122300000X

NPI Details
NPI 1093047896
Enumeration Date 02/03/2010
Last Updated 11/08/2011
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name EARL B EARL
Position PRESIDENT
Phone (803) 793-3653
Fax
Practice Location
174 BEECH AVE
DENMARK SC, 29042, US
Phone (803) 793-3653
Fax
Business Location
174 BEECH AVE
DENMARK SC, 29042, US
Phone (803) 793-3653
Fax
Toxanomy
Taxonomy Code 122300000X
License State South Carolina
License Number 4591
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According to our database, Earl B Hartzog Dmd Pa NPI is 1093047896, taxonomy code is 122300000X and license number is 4591, license state is located at South Carolina. Earl B Hartzog Dmd Pa physically located at 174 Beech Ave, Denmark SC, 29042. NPI Number 1033115704 has the healthcare provider type.

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1093047896 NPI number is provided on an as is basis without warranty of any kind. 1093047896 is maintained by the National Plan & Provider Enumeration System. The contents of Earl B Hartzog Dmd Pa are for informational purposes only.