| Eastside Family Dental Care, Llc | |
|
3620 E River St Anderson SC 29621-7334 | |
| (864) 261-3132 | |
| Not Available |
| Full Name | Eastside Family Dental Care, Llc |
|---|---|
| Speciality | Dentist |
| Location | 3620 E River St, Anderson, South Carolina |
| Authorized Official Name and Position | John Wesley Harden (DENTIST) |
| Authorized Official Contact | 8642461811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastside Family Dental Care, Llc 3620 E River St Anderson SC 29621-7334 Ph: (864) 261-3132 | Eastside Family Dental Care, Llc 3620 E River St Anderson SC 29621-7334 Ph: (864) 261-3132 |
| NPI Number | 1639432990 |
|---|---|
| Provider Enumeration Date | 06/21/2012 |
| Last Update Date | 06/21/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639432990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4272 (South Carolina) | Primary |
| 122300000X | Dentist | 7141 (South Carolina) | Secondary |
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