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Organization
GREENVILLE DENTAL STUDIO
Active
Organization
GREENVILLE DENTAL STUDIO
Active
Other names
Greenville Dental Studio
Organization subpart
No
Provider details
NPI number
Authorized official
SERGEY ZAKHAROV DDS (DENTIST OWNER)
(360) 314-5269
Entity
Organization
Contact information
Practice address
644 N MAIN ST STE 111, GREENVILLE, SC 29601-1741
(864) 520-2942
Mailing address
644 N MAIN ST STE 111, GREENVILLE, SC 29601-1741
(864) 520-2942
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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