Organization
MEJIA & PENALOZA LLC
Active
Other names
Greenville Dental Office
Organization subpart
No
Provider details
NPI number
Authorized official
PAOLA MEJIA (MANAGER)
(864) 252-8296
Entity
Organization
Contact information
Practice address
1140 N PLEASANTBURG DR STE D, GREENVILLE, SC 29607-1256
(864) 252-8296
Mailing address
1140 N PLEASANTBURG DR STE D, GREENVILLE, SC 29607-1256
(864) 252-8296
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6992
—
Other
Enumeration date
04/26/2012
Last updated
04/26/2012
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