Organization
SIGNATURE SMILES, LLC
Active
Other names
Compass Dental
Organization subpart
No
Provider details
NPI number
Authorized official
BLAKE MICHAEL JULIAN (DDS - PRACTICE OWNER)
(864) 292-6050
Entity
Organization
Contact information
Practice address
2801 WADE HAMPTON BLVD STE 118, TAYLORS, SC 29687-2758
(864) 292-6050
Mailing address
2801 WADE HAMPTON BLVD STE 118, TAYLORS, SC 29687-2758
(864) 292-6050
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6903
SC
Other
Enumeration date
08/10/2018
Last updated
08/10/2018
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