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Organization
HUNT FAMILY DENTAL, LLC
Active
Organization
HUNT FAMILY DENTAL, LLC
Active
Other names
Wood Creek Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMELIA SIMS ROSE (PRACTICE ADMINSTRATOR)
(864) 288-5300
Entity
Organization
Contact information
Practice address
2101 PELHAM RD, GREENVILLE, SC 29615-4006
(864) 288-5300
(864) 288-9430
Mailing address
2101 PELHAM RD, PO BOX 25604, GREENVILLE, SC 29615-4006
(864) 288-5300
(864) 288-9430
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19
19
SC
Enumeration date
12/23/2014
Last updated
12/23/2014
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