Organization
SANDY SPRINGS DENTAL CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY MARZOLF DDS (PRESIDENT)
(864) 261-3436
Entity
Organization
Contact information
Practice address
5302 HIGHWAY 76, PENDLETON, SC 29670-9139
(864) 261-3436
Mailing address
5302 HIGHWAY 76, PENDLETON, SC 29670-9139
(864) 261-3436
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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