Organization
IGRIN CHILDRENS DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT ALLEN AYERS (PRACTICE COORDINATOR)
(864) 561-7559
Entity
Organization
Contact information
Practice address
1860 OLD FURNACE ROAD, BOILING SPRINGS, SC 29316-6623
(864) 592-1647
Mailing address
1860 OLD FURNACE RD., BOILING SPRINGS, SC 29316
(864) 592-1647
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/09/2015
Last updated
11/09/2015
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