| NPI | 1033849997 |
|---|---|
| Doing Business As | GREENVILLE AVENUE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ALI SHAHRESTANI Owner 864-565-7132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-06-14 |
| Last Update Date | 2022-06-14 |