Organization
PROGRIN DENTAL OF WOODRUFF LLC
Active
Other names
ProGrin Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRENT ALLEN AYERS (PRESIDENT)
(864) 561-7559
Entity
Organization
Contact information
Practice address
420 S MAIN ST, WOODRUFF, SC 29388-2117
(864) 834-8001
(864) 476-0439
Mailing address
420 S MAIN ST, WOODRUFF, SC 29388-2117
(864) 834-8001
(864) 476-0439
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/19/2012
Last updated
06/19/2012
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