|Entity Type||Healthcare Provider|
|Active||Over 10 years ago|
|Name||WALLACE L WALLACE|
|1221 N FANT ST
ANDERSON SC, 29621-4821, US
|PO BOX 202
ANDERSON SC, 29622-0202, US
|License State||South Carolina|
|Remove 1215119227 NPI Number|
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.
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.