Organization
SOUTHEASTERN DENTAL ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDA WENTWORTH BRIDGES DDS (DENTIST)
(864) 283-2838
Entity
Organization
Contact information
Practice address
4 HALTON GREEN WAY, GREENVILLE, SC 29607-6606
(864) 283-2838
(864) 286-0560
Mailing address
4 HALTON GREEN WAY, GREENVILLE, SC 29607-6606
(864) 283-2838
(864) 286-0560
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3746
SC
Other
Enumeration date
05/18/2006
Last updated
07/05/2016
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