| Tooth Zone - Zona Dientes | |
|
103 Commons Way Greenville SC 29611 | |
| (864) 295-3086 | |
| (864) 295-3286 |
| Full Name | Tooth Zone - Zona Dientes |
|---|---|
| Speciality | Dentist |
| Location | 103 Commons Way, Greenville, South Carolina |
| Authorized Official Name and Position | Harry Nick Bobotis (L.C.C.'S MEMBER & PRESIDENT/GENERAL) |
| Authorized Official Contact | 8643295400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tooth Zone - Zona Dientes 103 Commons Way Greenville SC 29611 Ph: (864) 295-3086 | Tooth Zone - Zona Dientes 103 Commons Way Greenville SC 29611 Ph: (864) 295-3086 |
| NPI Number | 1013220391 |
|---|---|
| Provider Enumeration Date | 07/15/2010 |
| Last Update Date | 07/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013220391 | NPI | - | NPPES |
| Z34909 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3490 (South Carolina) | Primary |
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