| NPI | 1649832510 |
|---|---|
| Former Legal Business Name | IGRIN CHILDREN'S DENTISTRY OF POWDERSVILLE, LLC |
| Entity Type | Organization |
| Authorized Contact | BRENT ALLEN AYERS COO 864-561-7559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2023-11-17 |