SEA GLASS PERIODONTICS OF SIMPSONVILLE LLC

SIMPSONVILLE, SC
NPI1295344646
Entity TypeOrganization
Authorized ContactBETH ILLSLEY
Director Of Insurance
864-282-1935
Organization Subpart ?Yes
Primary Taxonomy1223P0300X Dentist, Periodontics
Enumeration Date2020-07-30
Last Update Date2020-07-30
Business Address
SEA GLASS PERIODONTICS OF SIMPSONVILLE LLC
110A HOSPITAL DR
SIMPSONVILLE, SC 29681-3226
Phone number: 864-757-8820
Mailing Address
SEA GLASS PERIODONTICS OF SIMPSONVILLE LLC
400 MEMORIAL DRIVE EXT STE 400
GREER, SC 29651-1850
Phone number: 864-282-1935
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