Organization
CLASSIC DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYRESIA J WHITE DMD (PERIODONTIST)
(864) 283-0141
Entity
Organization
Contact information
Practice address
6A CLEVELAND CT, GREENVILLE, SC 29607-2414
(864) 283-0141
Mailing address
6A CLEVELAND CT, GREENVILLE, SC 29607-2414
(864) 283-0141
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/15/2019
Last updated
07/15/2019
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