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ANDERSON, SC
NPI1760751523
Entity TypeOrganization
Authorized ContactRAFE S GAMBRELL
Business Manager
864-517-3776
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2011-12-23
Last Update Date2011-12-23
Business Address
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4130 CLEMSON BLVD
ANDERSON, SC 29621-1108
Phone number: 864-332-1266
Mailing Address
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16 MILLS AVE
GREENVILLE, SC 29605-4070
Phone number: 864-235-7500
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