Trinity Dental Center, Llc

NPI 1215119227 - Clinic/Center - 261QD0000X

NPI Details
NPI 1215119227
Enumeration Date 11/30/2007
Last Updated 11/30/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name WALLACE L WALLACE
Position MANAGER
Phone (864) 224-4736
Fax
Practice Location
1221 N FANT ST
ANDERSON SC, 29621-4821, US
Phone (864) 224-4736
Fax
Business Location
PO BOX 202
ANDERSON SC, 29622-0202, US
Phone
Fax
Toxanomy
Taxonomy Code 261QD0000X
License State South Carolina
License Number 3151
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According to our database, Trinity Dental Center, Llc NPI is 1215119227, taxonomy code is 261QD0000X and license number is 3151, license state is located at South Carolina. Trinity Dental Center, Llc physically located at 1221 N Fant St, Anderson SC, 29621-4821. NPI Number 1033115704 has the healthcare provider type.

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1215119227 NPI number is provided on an as is basis without warranty of any kind. 1215119227 is maintained by the National Plan & Provider Enumeration System. The contents of Trinity Dental Center, Llc are for informational purposes only.