Organization
UPCOUNTRY DENTAL, LLC
Active
Other names
Upcountry Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADRIENNE N WIMBROW DMD (OWNER DENTIST)
(864) 776-0123
Entity
Organization
Contact information
Practice address
11 PROFESSIONALS CIR, SENECA, SC 29678-2669
(864) 776-0123
(864) 776-0025
Mailing address
11 PROFESSIONALS CIR, SENECA, SC 29678-2669
(864) 776-0123
(864) 776-0025
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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