Organization
FAMILY DENTAL HEALTH OF SPRING VALLEY NORTH LLC
Active
Parent organization
FDH HOLDING LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FDH HOLDING LLC
Authorized official
MRS. BETH ILLSLEY (DIRECTOR OF INSURANCE)
(864) 282-1935
Entity
Organization
Contact information
Practice address
18 OFFICE PARK CT, COLUMBIA, SC 29223-5947
(803) 788-7300
(864) 751-6387
Mailing address
400 MEMORIAL DRIVE EXT STE 400, GREER, SC 29651-1850
(864) 282-1935
(864) 751-6387
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/28/2022
Last updated
01/09/2023
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