Organization
DENTAL INNOVATIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SAMANTHA REINI MARCELLO RDH (OWNER)
(864) 640-8987
Entity
Organization
Contact information
Practice address
105 HALTON VILLAGE CIR STE B, GREENVILLE, SC 29607-6832
(864) 640-8987
(855) 852-3884
Mailing address
9 GRAND RIVER LN, SIMPSONVILLE, SC 29681-4583
(864) 640-8987
(855) 852-3884
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/21/2014
Last updated
08/15/2014
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