Organization
RYAN MARCELLO, D.M.D, L.L.C.
Active
Other names
Royal Crest Centre for Advanced Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK RYAN MARCELLO D.M.D. (OWNER)
(864) 801-8877
Entity
Organization
Contact information
Practice address
103A REGENCY COMMONS DR, GREER, SC 29650-5210
(864) 801-8877
(864) 801-8897
Mailing address
103A REGENCY COMMONS DR, GREER, SC 29650-5210
(864) 801-8877
(864) 801-8897
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3609
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA9660
—
SC
Enumeration date
01/26/2007
Last updated
10/22/2013
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