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Organization

PROGRIN DENTAL OF POWDERSVILLE, LLC

Active
Other names
iGrin Children's Dentistry of Powdersville, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRENT ALLEN AYERS (COO)
(864) 561-7559
Entity
Organization

Contact information

Practice address
10705 ANDERSON RD, EASLEY, SC 29642-8298
(864) 561-7559
Mailing address
201 OLD BOILING SPRINGS RD STE A, GREER, SC 29650-4257
(864) 561-7559

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Enumeration date
07/01/2019
Last updated
11/17/2023
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