Organization
ASHBY PARK PEDIATRIC DENTISTRY EASLEY
Active
Parent organization
ASHBY PARK PEDIATRIC DENTISTRY, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASHBY PARK PEDIATRIC DENTISTRY, LLC
Authorized official
JENNIFER GARVEY (PARTNER/OWNER)
(864) 234-3424
Entity
Organization
Contact information
Practice address
708 NORTH A STREET, EASLEY, SC 29640
(864) 605-7741
Mailing address
708 NORTH A STREET, EASLEY, SC 29640
(864) 605-7741
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3638
SC
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
3638
SC
Other
Enumeration date
07/01/2016
Last updated
07/01/2016
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