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Organization

THE DENTAL RETREAT AT MOUNTAIN PARK

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JON MICHEAL JULIAN DDS (OWNER)
(864) 836-3611
Entity
Organization

Contact information

Practice address
125 BOTANICAL CIR, TRAVELERS REST, SC 29690-7112
(864) 836-3611
(888) 778-6022
Mailing address
125 BOTANICAL CIR, TRAVELERS REST, SC 29690-7112
(864) 836-3611
(888) 778-6022

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6984
SC

Other

Enumeration date
04/20/2015
Last updated
04/20/2015
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