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Organization
RADIANT DENTISTRY
Active
Organization
RADIANT DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER WREN LEVER DMD (OWNER/DENTIST)
(864) 621-5366
Entity
Organization
Contact information
Practice address
1440 FERNWOOD GLENDALE RD, SPARTANBURG, SC 29307-3079
(864) 582-2950
Mailing address
1440 FERNWOOD GLENDALE RD, SPARTANBURG, SC 29307-3079
(864) 582-2950
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3632
SC
Other
Enumeration date
08/27/2008
Last updated
08/27/2008
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