Organization
ELIZABETH ARNETT JABBOUR DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ELIZABETH ARNETT JABBOUR DMD (OWNER/DENTIST)
(864) 582-2371
Entity
Organization
Contact information
Practice address
402 S PINE ST, SPARTANBURG, SC 29302-2712
(864) 582-2371
(864) 585-1949
Mailing address
402 S PINE ST, SPARTANBURG, SC 29302-2712
(864) 582-2371
(864) 585-1949
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
3148
SC
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407987399
—
SC
Enumeration date
10/20/2015
Last updated
10/27/2021
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