Organization
CHERRYDALE DENTAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ANGELA CAROL BAKER RDH (OPERATIONS MANAGER)
(864) 325-3243
Entity
Organization
Contact information
Practice address
105 STATE PARK RD, GREENVILLE, SC 29609
(864) 271-1156
(864) 271-8951
Mailing address
105 STATE PARK RD, GREENVILLE, SC 29609
(864) 271-1156
(864) 271-8951
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/01/2011
Last updated
08/06/2013
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