Whole Life On-site Llc | |
301 Montague Ave Greenwood SC 29649-1939 | |
(864) 229-7092 | |
Not Available |
Full Name | Whole Life On-site Llc |
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Speciality | Clinic/center - Dental |
Location | 301 Montague Ave, Greenwood, South Carolina |
Authorized Official Name and Position | Zachary Kuthe (DIRECTOR OF COMMUNITY OUTREACH) |
Authorized Official Contact | 8437435323 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Whole Life On-site Llc 2320 E North St Ste Rr Greenville SC 29607-1247 Ph: () - | Whole Life On-site Llc 301 Montague Ave Greenwood SC 29649-1939 Ph: (864) 229-7092 |
NPI Number | 1538702915 |
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Provider Enumeration Date | 10/18/2019 |
Last Update Date | 10/18/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538702915 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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