Organization
FOOTHILLS PEDIATRIC DENTISTRY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN MICHAEL BOZARD DMD (PRESIDENT)
(864) 699-6382
Entity
Organization
Contact information
Practice address
240 N GROVE MEDICAL PARK DR, SPARTANBURG, SC 29303-4222
(864) 699-6382
(864) 699-6382
Mailing address
240 N GROVE MEDICAL PARK DR, SPARTANBURG, SC 29303-4222
(864) 699-6382
(864) 699-6382
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
4566
SC
Other
Enumeration date
04/20/2009
Last updated
11/15/2019
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