Organization
WHOLE LIFE ON-SITE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZACHARY KUTHE (DIRECTOR OF COMMUNITY OUTREACH)
(843) 743-5323
Entity
Organization
Contact information
Practice address
301 MONTAGUE AVE, GREENWOOD, SC 29649-1939
(864) 229-7092
Mailing address
2320 E NORTH ST STE RR, GREENVILLE, SC 29607-1247
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/18/2019
Last updated
10/18/2019
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