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1790950202
FALLS PARK DENTISTRY
GREENVILLE, SC
NPI
1790950202
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Entity Type
Organization
Authorized Contact
BRIAN RUSSELL DERRICK
Dentist/President
864-243-8371
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2008-04-25
Last Update Date
2008-04-25
Business Address
FALLS PARK DENTISTRY
104 N MAIN ST
GREENVILLE, SC 29601-2721
Phone number: 864-243-8371
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Mailing Address
FALLS PARK DENTISTRY
104 N MAIN ST
GREENVILLE, SC 29601-2721
Phone number: 864-243-8371
Copy
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