institution
Anthony C. Martin Dmd Llc
Dental Clinic/Center in Irmo, South Carolina
NPI 1841698149

Anthony C. Martin Dmd Llc is a Dental Clinic/Center based in Ballentine, SC and is specialized in Dental. Anthony C. Martin Dmd Llc practices in Irmo, SC. The NPI Number for Anthony C. Martin Dmd Llc is 1841698149 and holds a License No. 2590 (South Carolina).

The current practice location address for Anthony C. Martin Dmd Llc is 111 Obrian Way, Irmo, SC and can be reached out via phone at 803-749-6072. You can also correspond with Anthony C. Martin Dmd Llc through the mailing address at PO BOX 195, BALLENTINE, SC - 29002-0195 (mailing address contact number: 803-749-6072).

Location: 111 Obrian Way, Irmo, SC, 29002-0195
institution
Provider Profile Details
NPI Number
1841698149
Provider Name
Anthony C. Martin Dmd Llc
Credential
Provider Entity Type
Organization
Address
111 Obrian Way, Irmo, SC, 29002-0195
Phone Number
803-749-6072
Fax Number
Provider Enumeration Date
12/18/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Z2590 05 SC
institution
Provider Business Practice Location Address Details
Address
111 Obrian Way
City
State
Zip
29063-8776
Phone Number
803-749-6072
Fax Number
person
Provider Business Mailing Address Details
Address
111 Obrian Way
City
State
Zip
29063-8776
Phone Number
803-749-6072
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
2590 (South Carolina)
Definition
Definition to come...
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