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Dental Public Health

Pageland, South Carolina

Provider NPI: 1689088676

Organization Information:
Organization is not Subpart
Authorized Official:  ANASTASIA V VORONINA  OWNER/DENTIST  843-6722403

Practice Location:
Tel: 843-672-2403  Fax: 843-672-3299

Business Mailing Address:
Tel: 843-672-2403  Fax: 843-672-3299

Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
Y1223D0001XDental Providers
Dental Public Health

Other Provider Identifiers:

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin


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