Organization
129 PLANTATION GROOSE CREEK PROFESSIONAL, LLC
Active
Other names
Smile Care 360
Organization subpart
No
Provider details
NPI number
Authorized official
PETER GRUMBOS DDS (OWNER)
(843) 410-4920
Entity
Organization
Contact information
Practice address
129 PLANTATION NORTH BLVD STE D, GOOSE CREEK, SC 29445-5776
(843) 410-4920
(843) 410-4924
Mailing address
129 PLANTATION NORTH BLVD STE D, GOOSE CREEK, SC 29445-5776
(843) 410-4920
(843) 410-4924
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/29/2021
Last updated
11/29/2021
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