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Organization
PROGRIN DENTAL OF WESTSIDE, LLC
Active
Organization
PROGRIN DENTAL OF WESTSIDE, LLC
Active
Other names
ProGrin Dental of Westside
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT AYERS (COO)
(864) 561-7559
Entity
Organization
Contact information
Practice address
108 MICHELIN BLVD, ANDERSON, SC 29625-2676
(864) 332-4117
Mailing address
201 OLD BOILING SPRINGS RD STE A, GREER, SC 29650-4257
(864) 561-7559
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/02/2022
Last updated
05/02/2022
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