Organization
FAMILY DENTAL HEALTH GROUP LLC
Active
Other names
Family Dental Health of Forest Acres LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETH LOUISE ILLSLEY (DIRECTOR OF INSURANCE)
(864) 282-1935
Entity
Organization
Contact information
Practice address
5251 FOREST DR, COLUMBIA, SC 29206-4920
(803) 573-3910
Mailing address
400 MEMORIAL DRIVE EXT STE 400, GREER, SC 29651-1850
(864) 282-1935
(864) 751-6387
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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