| Family Health Centers Dental Mobile Unit | |
|
3310 Magnolia St Orangeburg SC 29115-1466 | |
| (803) 531-6900 | |
| (803) 531-6907 |
| Full Name | Family Health Centers Dental Mobile Unit |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3310 Magnolia St, Orangeburg, South Carolina |
| Authorized Official Name and Position | Leon A Brunson (CEO) |
| Authorized Official Contact | 8035316900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Health Centers Dental Mobile Unit 3310 Magnolia St Orangeburg SC 29115-1466 Ph: (803) 531-6900 | Family Health Centers Dental Mobile Unit 3310 Magnolia St Orangeburg SC 29115-1466 Ph: (803) 531-6900 |
| NPI Number | 1043661093 |
|---|---|
| Provider Enumeration Date | 06/30/2016 |
| Last Update Date | 06/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043661093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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