Individual
DR. KRISTEN KONETZNI UPRICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
1376 CLEVELAND ST, GREENVILLE, SC 29607-2435
(864) 250-1100
(864) 250-1604
Mailing address
1376 CLEVELAND ST, GREENVILLE, SC 29607-2435
(864) 250-1100
(864) 250-1604
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
525
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX3599
—
SC
Enumeration date
10/17/2006
Last updated
05/13/2008
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