Organization
TOOTH ZONE - ZONA DIENTES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARRY NICK BOBOTIS D.M.D. (L.C.C.'S MEMBER & PRESIDENT/GENERAL)
(864) 329-5400
Entity
Organization
Contact information
Practice address
103 COMMONS WAY, GREENVILLE, SC 29611
(864) 295-3086
(864) 295-3286
Mailing address
103 COMMONS WAY, GREENVILLE, SC 29611
(864) 295-3086
(864) 295-3286
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3490
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z34909
—
SC
Enumeration date
07/15/2010
Last updated
07/15/2010
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