| NPI | 1881467850 |
|---|---|
| Doing Business As | GREENVILLE DENTAL STUDIO |
| Entity Type | Organization |
| Authorized Contact | SERGEY ZAKHAROV Dentist Owner 360-314-5269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2023-11-01 |
| Last Update Date | 2023-11-01 |