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1114497963
FAMILY DENTAL HEALTH OF HALTON ROAD, LLC
GREENVILLE, SC
NPI
1114497963
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Entity Type
Organization
Authorized Contact
BETH ILLSLEY
Director Of Insurance
864-282-1935
Organization Subpart ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2018-12-04
Last Update Date
2018-12-04
Business Address
FAMILY DENTAL HEALTH OF HALTON ROAD, LLC
155 HALTON VILLAGE CIR STE A
GREENVILLE, SC 29607-6825
Phone number: 864-289-9752
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Mailing Address
FAMILY DENTAL HEALTH OF HALTON ROAD, LLC
110 VILLA RD
GREENVILLE, SC 29615-3010
Phone number: 864-282-1935
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