Organization
SENECA ORTHODONTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SALLY GRANT HOLLIDAY DMD, MS (MEMBER)
(864) 885-1579
Entity
Organization
Contact information
Practice address
5 COMMONS BLVD, SENECA, SC 29678-2667
(864) 885-1579
(864) 885-0505
Mailing address
5 COMMONS BLVD, SENECA, SC 29678-2667
(864) 885-1579
(864) 885-0505
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4621
SC
Other
Enumeration date
06/30/2010
Last updated
06/30/2010
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