Organization
CHERRY ORCHARD PEDIATRIC DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA CHERRY DDS (PEDIATRIC DENTIST)
(864) 603-2603
Entity
Organization
Contact information
Practice address
101 HALTON RD STE B, GREENVILLE, SC 29607-3507
(864) 603-2603
(864) 603-2606
Mailing address
106 SHAMROCK LN, GREENVILLE, SC 29615-5462
(864) 423-4129
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
03/26/2021
Last updated
12/06/2023
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