Organization
PROGRIN DENTAL OF BOILING SPRINGS LLC
Active
Other names
ProGrin Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRENT ALLEN AYERS (PRESIDENT)
(864) 561-7559
Entity
Organization
Contact information
Practice address
8810 HIGHWAY 9, INMAN, SC 29349-8718
(864) 592-1647
(864) 592-0630
Mailing address
PO BOX 38, INMAN, SC 29349-0038
(864) 592-1647
(864) 592-0630
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/19/2012
Last updated
06/19/2012
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