| NPI | 1063157287 |
|---|---|
| Doing Business As | PROGRIN DENTAL OF WESTSIDE |
| Entity Type | Organization |
| Authorized Contact | BRENT AYERS COO 864-561-7559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-05-02 |
| Last Update Date | 2022-05-02 |