Organization
SEQUOIA DENTAL, LLC
Active
Other names
Mauldin Square Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN ROBINSON (OWNER)
(803) 833-6375
Entity
Organization
Contact information
Practice address
211 E BUTLER RD STE B3, MAULDIN, SC 29662-2170
(864) 297-6432
Mailing address
2104B WOODRUFF RD, GREENVILLE, SC 29607-5941
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/19/2022
Last updated
07/19/2022
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