UPSTATE PERIODONTICS, PA

NPI # 

Practice Address:

214 Frontage Rd

Clemson, SC, 29631-1642

Practice Phone:

864-654-3416

Practice Fax:

864-654-3384

License Number:

2267

License State:

SC

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Dental

Taxonomy Code:

261QD0000X