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Organization
PALMETTO PERIODONTICS OF GREENVILLE PA
Active
Organization
PALMETTO PERIODONTICS OF GREENVILLE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM FREDRICK BOHLEN DMD (OWNER)
(864) 987-9700
Entity
Organization
Contact information
Practice address
1130 E BUTLER RD, GREENVILLE, SC 29607-5908
(864) 987-9700
(864) 987-0198
Mailing address
1130 E BUTLER RD, GREENVILLE, SC 29607-5908
(864) 987-9700
(864) 987-0198
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
6919
SC
Other
Enumeration date
07/28/2010
Last updated
07/28/2010
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