Organization
GEORGEA B THEKKETHOTTIYIL LLC
Active
Other names
Greer Dental Studio
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGEA B THEKKETHOTTIYIL DDS (OWNER)
(267) 241-8248
Entity
Organization
Contact information
Practice address
455 SOUTH BUNCOMBE RD, GREER, SC 29650
(267) 241-8248
Mailing address
109 WINDSORGATE WAY, SIMPSONVILLE, SC 29681-3698
(267) 241-8248
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/21/2022
Last updated
10/21/2022
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