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Organization
MOUNTAINVIEW DENTISTRY
Active
Organization
MOUNTAINVIEW DENTISTRY
Active
Parent organization
MICHELE K BRYANT, DMD, PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
MICHELE K BRYANT, DMD, PA
Authorized official
DR. MICHELE KATHLEEN BRYANT DMD (OWNER/DENTIST)
(864) 877-6477
Entity
Organization
Contact information
Practice address
119 VILLAGE DRIVE, GREER, SC 29651
(864) 879-1120
(864) 848-4515
Mailing address
119 VILLAGE DRIVE, GREER, SC 29651
(864) 879-1120
(864) 848-4515
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4021
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1904625
UNITED CONCORDIA
SC
05
—
ZX4021
—
SC
Enumeration date
02/16/2010
Last updated
02/16/2010
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