Organization
PHILLIP D. GOULD, DMD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP DAVID GOULD DMD (GENERAL DENTIST/ OWNER)
(864) 360-0982
Entity
Organization
Contact information
Practice address
127 HUNTS BRIDGE RD, GREENVILLE, SC 29617-1623
(864) 246-6471
Mailing address
15 WIUKA AVE, GREENVILLE, SC 29607-3117
(803) 360-0982
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/07/2020
Last updated
06/08/2020
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