| Foothills Family Dental Pa | |
|
206 Elliott Rd Lyman SC 29365-1620 | |
| (864) 439-6559 | |
| (864) 439-1905 |
| Full Name | Foothills Family Dental Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 206 Elliott Rd, Lyman, South Carolina |
| Authorized Official Name and Position | William Aristides Malone (DENTIST) |
| Authorized Official Contact | 8644396559 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foothills Family Dental Pa 206 Elliott Rd Lyman SC 29365-1620 Ph: (864) 439-6559 | Foothills Family Dental Pa 206 Elliott Rd Lyman SC 29365-1620 Ph: (864) 439-6559 |
| NPI Number | 1841583630 |
|---|---|
| Provider Enumeration Date | 05/26/2011 |
| Last Update Date | 05/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841583630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4711 (South Carolina) | Primary |
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