Golden Corner Dental, Llc | |
102 Lusk Dr West Union SC 29696-2629 | |
(864) 638-7733 | |
Not Available |
Full Name | Golden Corner Dental, Llc |
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Speciality | Clinic/center - Dental |
Location | 102 Lusk Dr, West Union, South Carolina |
Authorized Official Name and Position | Jared R. Burr (OWNER) |
Authorized Official Contact | 8649064333 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Golden Corner Dental, Llc 102 Lusk Dr West Union SC 29696-2629 Ph: (864) 638-7733 | Golden Corner Dental, Llc 102 Lusk Dr West Union SC 29696-2629 Ph: (864) 638-7733 |
NPI Number | 1245890532 |
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Provider Enumeration Date | 06/18/2019 |
Last Update Date | 06/18/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245890532 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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