Comprehensive And Cosmetic Dental Studio Of Greenville | |
644 N Main St Ste 111 Greenville SC 29601-1678 | |
(864) 520-2942 | |
Not Available |
Full Name | Comprehensive And Cosmetic Dental Studio Of Greenville |
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Speciality | Clinic/center - Dental |
Location | 644 N Main St Ste 111, Greenville, South Carolina |
Authorized Official Name and Position | Andrew Brian Bullard (PRESIDENT) |
Authorized Official Contact | 8649074684 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Comprehensive And Cosmetic Dental Studio Of Greenville 644 N Main St Ste 111 Greenville SC 29601-1678 Ph: (864) 520-2942 | Comprehensive And Cosmetic Dental Studio Of Greenville 644 N Main St Ste 111 Greenville SC 29601-1678 Ph: (864) 520-2942 |
NPI Number | 1164952842 |
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Provider Enumeration Date | 06/15/2017 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
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1164952842 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | 3674 (South Carolina) | Primary |
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