Organization
PROGRIN DENTAL OF AUGUSTA ROAD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT AYERS (COO)
(864) 561-7559
Entity
Organization
Contact information
Practice address
1 W PRENTISS AVE, GREENVILLE, SC 29605-4029
(864) 607-8848
Mailing address
201 OLD BOILING SPRINGS RD STE A, GREER, SC 29650-4257
(864) 561-7559
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/12/2022
Last updated
12/22/2022
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