Organization
INDIGO DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEAGAN CROSLAND DMD (OWNER)
(770) 630-6328
Entity
Organization
Contact information
Practice address
905 W BUTLER RD, GREENVILLE, SC 29607-2960
(864) 565-8684
Mailing address
26 WILSHIRE DR, GREENVILLE, SC 29609-3831
(770) 630-6328
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
12/17/2020
Last updated
12/17/2020
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