Organization
ASHBY PARK PEDIATRIC DENTISTRY RIVER FALLS
Active
Parent organization
ASHBY PARK PEDIATRIC DENTISTRY, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASHBY PARK PEDIATRIC DENTISTRY, LLC
Authorized official
DR. JENNIFER LYNN GARVEY DMD (PRESIDENT)
(864) 433-6888
Entity
Organization
Contact information
Practice address
505 SQUIRES PT, DUNCAN, SC 29334-8867
(864) 433-6888
(864) 433-6889
Mailing address
505 SQUIRES PT, DUNCAN, SC 29334-8867
(864) 433-6888
(864) 433-6889
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3638
SC
Other
Enumeration date
03/28/2012
Last updated
08/20/2012
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