Organization
WHOLE LIFE DENTAL
Active
Other names
Whole Life Dental
Organization subpart
No
Provider details
NPI number
Authorized official
KIM WATERS (OFFICE MANAGER)
(864) 229-7092
Entity
Organization
Contact information
Practice address
301 MONTAGUE AVE, GREENWOOD, SC 29649-1939
(864) 229-7092
(864) 223-1083
Mailing address
301 MONTAGUE AVE, GREENWOOD, SC 29649-1939
(864) 229-7092
(864) 223-1083
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Enumeration date
01/22/2019
Last updated
01/22/2019
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