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Modern Legacy, Inc.
General Practice Dentistry in Latta, South Carolina
NPI 1992032486

Modern Legacy, Inc. is a General Practice Dentistry based in Latta, SC and is specialized in General Practice. Modern Legacy, Inc. practices in Latta, SC. The NPI Number for Modern Legacy, Inc. is 1992032486 and holds a License No. (South Carolina).

The current practice location address for Modern Legacy, Inc. is 203 S Marion St, Latta, SC and can be reached out via phone at 843-752-7655 and via fax at 843-752-4500.

Location: 203 S Marion St, Latta, SC, 29565-1522
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1992032486
Provider Name
Modern Legacy, Inc.
Credential
Provider Entity Type
Organization
Address
203 S Marion St, Latta, SC, 29565-1522
Phone Number
843-752-7655
Fax Number
843-752-4500
Provider Enumeration Date
11/04/2009
Last Update Date
08/17/2024
institution
Provider Business Practice Location Address Details
Address
203 S Marion St
City
Latta
State
South Carolina
Zip
29565-1522
Phone Number
843-752-7655
Fax Number
843-752-4500
person
Provider Business Mailing Address Details
Address
203 S Marion St
City
Latta
State
South Carolina
Zip
29565-1522
Phone Number
843-752-7655
Fax Number
843-752-4500
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
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Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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