JOHN FRAZIER BOUTWELL

GREENVILLE, SC
NPI1770108102
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: SC  9855)
Additional Taxonomies122300000X Dentist
(Licence: LA  7099)
Enumeration Date2020-06-11
Last Update Date2022-01-20
Business Address
DR. JOHN FRAZIER BOUTWELL DDS
3369 PELHAM RD
GREENVILLE, SC 29615-4105
Phone number: 864-297-6365
Mailing Address
DR. JOHN FRAZIER BOUTWELL DDS
3369 PELHAM RD
GREENVILLE, SC 29615-4105
Phone number: 864-297-6365
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