Grace Dentistry, Llc | |
16 Commons Blvd Seneca SC 29678-2666 | |
(864) 882-2424 | |
(864) 882-2476 |
Full Name | Grace Dentistry, Llc |
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Speciality | Clinic/center - Dental |
Location | 16 Commons Blvd, Seneca, South Carolina |
Authorized Official Name and Position | Katherine F Lee (CEO) |
Authorized Official Contact | 8648822424 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Grace Dentistry, Llc 16 Commons Blvd Seneca SC 29678-2666 Ph: (864) 882-2424 | Grace Dentistry, Llc 16 Commons Blvd Seneca SC 29678-2666 Ph: (864) 882-2424 |
NPI Number | 1154700946 |
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Provider Enumeration Date | 05/26/2015 |
Last Update Date | 05/26/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154700946 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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Ronald R. Moore, D.m.d., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11012 N Radio Station Rd, Seneca, SC 29678 Phone: 864-882-0880 Fax: 864-882-0881 | |
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Dentistry At The Commons Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 Professionals Cir, Seneca, SC 29678 Phone: 864-882-0134 | |
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