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Organization
MAGNOLIA DENTAL
Active
Organization
MAGNOLIA DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIGETTE N ZEBRO DDS (GENERAL DENTIST)
(864) 242-2848
Entity
Organization
Contact information
Practice address
119 W ANTRIM DR, GREENVILLE, SC 29607-2505
(864) 242-2848
Mailing address
119 W ANTRIM DR, GREENVILLE, SC 29607-2505
(864) 242-2848
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6914
SC
Other
Enumeration date
07/11/2016
Last updated
07/11/2016
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