Laura G Walls Family Dentistry | |
533 W Church St Batesburg SC 29006-1706 | |
(803) 532-3331 | |
(803) 532-3310 |
Full Name | Laura G Walls Family Dentistry |
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Speciality | Dentist |
Location | 533 W Church St, Batesburg, South Carolina |
Authorized Official Name and Position | Laura G Walls (DENTIST OWNER) |
Authorized Official Contact | 8035323331 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Laura G Walls Family Dentistry 533 W Church St Batesburg SC 29006-1706 Ph: (803) 532-3331 | Laura G Walls Family Dentistry 533 W Church St Batesburg SC 29006-1706 Ph: (803) 532-3331 |
NPI Number | 1114140514 |
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Provider Enumeration Date | 04/11/2007 |
Last Update Date | 04/03/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114140514 | NPI | - | NPPES |
1972513349 | Other | SC | INDIVIDUAL NPI NUMBER |
Z35908 | Medicaid | SC | |
ZA9578 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | SC3590 (South Carolina) | Primary |