Organization
CRESCENT FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE E WISTROM (OFFICE MANAGER)
(864) 968-1777
Entity
Organization
Contact information
Practice address
319 THE PKWY, GREER, SC 29650-5211
(864) 968-1777
Mailing address
319 THE PKWY, GREER, SC 29650-5211
(864) 968-1777
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4592
SC
Other
Enumeration date
03/10/2011
Last updated
03/10/2011
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