Organization
GENESIS SMILES, LLC
Active
Other names
Genesis Smiles Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BHAVNA T PAHEL DDS, PHD (MANAGING MEMBER)
(864) 715-3200
Entity
Organization
Contact information
Practice address
810 E MAIN ST STE G, LAURENS, SC 29360-3547
(864) 715-3200
Mailing address
10 BELGIAN BLUE WAY, FOUNTAIN INN, SC 29644-7912
(864) 715-3200
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
05/16/2023
Last updated
07/01/2023
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