| Artistic Impressions Cosmetic And Family Dentistry, Pa | |
|
223 Dayton School Rd Suite 103 Easley SC 29642-1447 | |
| (864) 306-8350 | |
| (864) 306-8587 |
| Full Name | Artistic Impressions Cosmetic And Family Dentistry, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 223 Dayton School Rd, Easley, South Carolina |
| Authorized Official Name and Position | Calvin Victor Boykin (OWNER) |
| Authorized Official Contact | 8643068350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Artistic Impressions Cosmetic And Family Dentistry, Pa 223 Dayton School Rd Suite 103 Easley SC 29642-1447 Ph: (864) 306-8350 | Artistic Impressions Cosmetic And Family Dentistry, Pa 223 Dayton School Rd Suite 103 Easley SC 29642-1447 Ph: (864) 306-8350 |
| NPI Number | 1639406390 |
|---|---|
| Provider Enumeration Date | 11/17/2009 |
| Last Update Date | 12/08/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639406390 | NPI | - | NPPES |
| ZX4113 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4113 (South Carolina) | Primary |
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