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Organization
129 PLANTATION GROOSE CREEK PROFESSIONAL, LLC
Active
Organization
129 PLANTATION GROOSE CREEK PROFESSIONAL, LLC
Active
Other names
Smile Care 360
Organization subpart
No
Provider details
NPI number
Authorized official
PETER GRUMBOS DDS (OWNER)
(843) 410-4920
Entity
Organization
Contact information
Practice address
129 PLANTATION NORTH BLVD STE D, GOOSE CREEK, SC 29445-5776
(843) 410-4920
(843) 410-4924
Mailing address
129 PLANTATION NORTH BLVD STE D, GOOSE CREEK, SC 29445-5776
(843) 410-4920
(843) 410-4924
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/29/2021
Last updated
11/29/2021
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