Organization
GRINVILLE DENTISTRY LLC
Active
Other names
Swamp Rabbit Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PARKS BURTON ALEXANDER DMD (OWNER)
(864) 901-6617
Entity
Organization
Contact information
Practice address
114 LAURENS RD STE A, GREENVILLE, SC 29607-1826
(864) 336-8478
Mailing address
114 LAURENS RD STE A, GREENVILLE, SC 29607-1826
(864) 336-8478
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/06/2020
Last updated
11/06/2020
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