Central Carolina Endodontics Pa | |
888 Cook Road Orangeburg SC 29118 | |
(803) 516-0777 | |
(803) 516-0577 |
Full Name | Central Carolina Endodontics Pa |
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Speciality | Dentist - Endodontics |
Location | 888 Cook Road, Orangeburg, South Carolina |
Authorized Official Name and Position | Joseph Davin Bonavilla (PRESIDENT) |
Authorized Official Contact | 8035160777 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Central Carolina Endodontics Pa 888 Cook Road Orangeburg SC 29118 Ph: (803) 516-0777 | Central Carolina Endodontics Pa 888 Cook Road Orangeburg SC 29118 Ph: (803) 516-0777 |
NPI Number | 1710442967 |
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Provider Enumeration Date | 02/01/2019 |
Last Update Date | 02/01/2019 |
Identifier | Type | State | Issuer |
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1710442967 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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