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Organization
THE DENTIST OFFICE AT BEREA LLC
Active
Organization
THE DENTIST OFFICE AT BEREA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC DAVID WORKMAN DMD (OWNER)
(864) 907-1122
Entity
Organization
Contact information
Practice address
6701 WHITE HORSE RD, GREENVILLE, SC 29611-2503
(864) 246-8347
Mailing address
114 FATHER HUGO DR, GREER, SC 29650-4466
(864) 907-1122
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
08/12/2022
Last updated
08/12/2022
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