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Organization
BOUTWELL DENTAL, LLC
Active
Organization
BOUTWELL DENTAL, LLC
Active
Other names
BWell Family Dentistry and Spa
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN BOUTWELL DDS (DOCTOR, CO-OWNER)
(864) 757-2370
Entity
Organization
Contact information
Practice address
309 HIGHWAY 14 STE C, SIMPSONVILLE, SC 29681-6055
(864) 757-2370
Mailing address
309 HIGHWAY 14 STE C, SIMPSONVILLE, SC 29681-6055
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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