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Organization

SOUTHERN OAK DENTAL GREENVILLE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SABRINA CRUMBY (CREDENTIALING)
(864) 558-7155
Entity
Organization

Contact information

Practice address
101 VERDAE BLVD STE 560, GREENVILLE, SC 29607-3834
(864) 558-7155
(864) 900-2511
Mailing address
101 VERDAE BLVD STE 560, GREENVILLE, SC 29607-3834
(864) 558-7155
(864) 900-2511

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
10/07/2022
Last updated
10/07/2022
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