Organization
THE DENTAL RETREAT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN KELSEY BOYD (OWNER)
(602) 502-4540
Entity
Organization
Contact information
Practice address
125 BOTANICAL CIR, TRAVELERS REST, SC 29690-7112
(602) 502-4540
Mailing address
125 BOTANICAL CIR, TRAVELERS REST, SC 29690-7112
(602) 502-4540
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/25/2024
Last updated
01/15/2025
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