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1790207801
PINE STREET DENTAL LLC
SPARTANBURG, SC
NPI
1790207801
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Entity Type
Organization
Authorized Contact
OMAR FIGUEROA-VALLE
Owner
864-582-5000
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2017-07-10
Last Update Date
2022-07-21
Business Address
PINE STREET DENTAL LLC
364 S PINE ST STE A101
SPARTANBURG, SC 29302-2654
Phone number: 864-582-5000
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Mailing Address
PINE STREET DENTAL LLC
364 S PINE ST STE A101
SPARTANBURG, SC 29302-2654
Phone number: 864-582-5000
Copy
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