| Palmetto Family And Cosmetic Dentistry Iv | |
|
1210 Wilson Hall Rd Sumter SC 29150-1889 | |
| (803) 877-6703 | |
| Not Available |
| Full Name | Palmetto Family And Cosmetic Dentistry Iv |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1210 Wilson Hall Rd, Sumter, South Carolina |
| Authorized Official Name and Position | Evelyn Horne (CEO) |
| Authorized Official Contact | 8038776703 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palmetto Family And Cosmetic Dentistry Iv 1210 Wilson Hall Rd Sumter SC 29150-1889 Ph: (803) 877-6703 | Palmetto Family And Cosmetic Dentistry Iv 1210 Wilson Hall Rd Sumter SC 29150-1889 Ph: (803) 877-6703 |
| NPI Number | 1124805254 |
|---|---|
| Provider Enumeration Date | 09/12/2023 |
| Last Update Date | 09/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124805254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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