Organization
BEREA COMPREHENSIVE DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J. WESLEY HARDEN D.M.D. (DENTIST)
(864) 246-1811
Entity
Organization
Contact information
Practice address
1906 CEDAR LANE RD, GREENVILLE, SC 29617-1733
(864) 246-1811
Mailing address
1906 CEDAR LANE RD, GREENVILLE, SC 29617-1733
(864) 246-1811
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4217
SC
Other
Enumeration date
02/06/2007
Last updated
08/22/2020
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