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Organization
TRIAD DENTAL GROUP
Active
Organization
TRIAD DENTAL GROUP
Active
Other names
The Bright Smile Center
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MITCHELL (ADMINISTRATIVE ASSISTANT)
(864) 706-1651
Entity
Organization
Contact information
Practice address
3425 HIGHWAY 153, PIEDMONT, SC 29673-7725
(864) 295-8678
(864) 295-8607
Mailing address
108 BURTON ST, SPARTANBURG, SC 29301-5400
(864) 576-7169
(864) 576-8389
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/02/2012
Last updated
10/02/2012
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