Individual
GRANT DYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
631 N CHURCH ST, SPARTANBURG, SC 29303-3046
(864) 308-1355
Mailing address
631 N CHURCH ST, SPARTANBURG, SC 29303-3046
(907) 240-2222
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9976
SC
Other
Enumeration date
06/30/2021
Last updated
06/30/2021
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