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203b Central Park Ln Seneca SC 29678-1156 | |
| (864) 482-2400 | |
| (864) 482-2404 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 203b Central Park Ln, Seneca, South Carolina |
| Authorized Official Name and Position | Matthew Word (OWNER) |
| Authorized Official Contact | 8644822400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
203b Central Park Ln Seneca SC 29678-1156 Ph: (864) 482-2400 | 203b Central Park Ln Seneca SC 29678-1156 Ph: (864) 482-2400 |
| NPI Number | 1932519436 |
|---|---|
| Provider Enumeration Date | 05/06/2014 |
| Last Update Date | 05/06/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932519436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4360 (South Carolina) | Primary |
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