Organization
BRIAN R CHERRY LLC
Active
Organization
BRIAN R CHERRY LLC
Active
Other names
CHERRY ORCHARD ORAL IMPLANT SURGERY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN R CHERRY DMD (OWNER)
(864) 603-2464
Entity
Organization
Contact information
Practice address
101 HALTON RD STE A, GREENVILLE, SC 29607-3507
(864) 603-2464
(864) 603-2461
Mailing address
101 HALTON RD STE A, GREENVILLE, SC 29607-3507
(864) 603-2464
(864) 603-2461
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
SC4307
SC
Other
Enumeration date
11/03/2014
Last updated
12/07/2021
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