Irby Street Dental Health Center, P.c.

NPI 1104225325 - Dentist - 1223G0001X

NPI Details
NPI 1104225325
Enumeration Date 08/14/2014
Last Updated 08/14/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name DAN DAN
Position OWNER/PRESIDENT
Phone (843) 673-0075
Fax
Practice Location
943 S IRBY ST UNIT A
FLORENCE SC, 29501-5238, US
Phone (843) 673-0075
Fax
Business Location
943 S IRBY ST UNIT A
FLORENCE SC, 29501-5238, US
Phone (843) 673-0075
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State South Carolina
License Number 2464
Remove 1104225325 NPI Number
 

According to our database, Irby Street Dental Health Center, P.c. NPI is 1104225325, taxonomy code is 1223G0001X and license number is 2464, license state is located at South Carolina. Irby Street Dental Health Center, P.c. physically located at 943 S Irby St Unit A, Florence SC, 29501-5238. NPI Number 1033115704 has the healthcare provider type.

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1104225325 NPI number is provided on an as is basis without warranty of any kind. 1104225325 is maintained by the National Plan & Provider Enumeration System. The contents of Irby Street Dental Health Center, P.c. are for informational purposes only.