Organization
BIJOU DENTAL LTD CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATASJA BEVANS DDS (AUTHORIZED OFFICIAL)
(059) 059-2323
Entity
Organization
Contact information
Practice address
109 AUGUSTA ST, GREENVILLE, SC 29601-3503
(864) 214-4242
Mailing address
109 AUGUSTA ST, GREENVILLE, SC 29601-3503
(864) 214-4242
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/12/2021
Last updated
01/12/2021
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