| Clarendon Family Dentistry Inc | |
|
17 E Hospital St Manning SC 29102-3152 | |
| (803) 433-8090 | |
| Not Available |
| Full Name | Clarendon Family Dentistry Inc |
|---|---|
| Speciality | Dentist |
| Location | 17 E Hospital St, Manning, South Carolina |
| Authorized Official Name and Position | Derek L Lee (OWNER) |
| Authorized Official Contact | 8034338090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clarendon Family Dentistry Inc 17 E Hospital St Po Box 428 Manning SC 29102-3152 Ph: (803) 433-8090 | Clarendon Family Dentistry Inc 17 E Hospital St Manning SC 29102-3152 Ph: (803) 433-8090 |
| NPI Number | 1740445253 |
|---|---|
| Provider Enumeration Date | 07/23/2008 |
| Last Update Date | 07/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740445253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4463 (South Carolina) | Primary |
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