Provider First Line Business Practice Location Address:
SUMTER FAMILY DENTAL CENTER PA
Provider Second Line Business Practice Location Address:
852 W LIBERTY STREET
Provider Business Practice Location Address City Name:
SUMTER
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29150
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
803-773-3328
Provider Business Practice Location Address Fax Number:
803-773-9601
Provider Enumeration Date:
10/27/2006