Organization
GREENVILLE AVENUE DENTISTRY, PC
Active
Other names
Greenville Avenue Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
ALI SHAHRESTANI DMD (OWNER)
(864) 565-7132
Entity
Organization
Contact information
Practice address
3116 N PLEASANTBURG DR STE 400, GREENVILLE, SC 29609-3757
(864) 565-7132
(864) 568-3813
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 845-8890
(303) 952-0892
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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