Organization
PARKE J LADD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PARKE LADD DMD (OWNER/DENTIST)
(828) 406-2925
Entity
Organization
Contact information
Practice address
301 MILLS AVE # 102, GREENVILLE, SC 29605-4021
(864) 233-1533
Mailing address
301 MILLS AVE # 102, GREENVILLE, SC 29605-4021
(864) 233-1533
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/16/2021
Last updated
11/16/2021
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