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Organization
GRINVILLE DENTISTRY LLC
Active
Organization
GRINVILLE DENTISTRY LLC
Active
Other names
Swamp Rabbit Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PARKS BURTON ALEXANDER DMD (OWNER)
(864) 901-6617
Entity
Organization
Contact information
Practice address
114 LAURENS RD STE A, GREENVILLE, SC 29607-1826
(864) 336-8478
Mailing address
114 LAURENS RD STE A, GREENVILLE, SC 29607-1826
(864) 336-8478
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/06/2020
Last updated
11/06/2020
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