Individual
SERGEY ZAKHAROV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
644 N MAIN ST STE 111, GREENVILLE, SC 29601-1741
(864) 520-2942
Mailing address
644 N MAIN ST STE 111, GREENVILLE, SC 29601-1741
(864) 520-2942
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
9371
SC
1223G0001X
General Practice Dentistry
Primary
9371
SC
Other
Enumeration date
05/30/2019
Last updated
11/01/2023
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