Organization
DOWNTOWN DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM BURRIS KENNA III DMD (MANAGER)
(864) 438-2646
Entity
Organization
Contact information
Practice address
400 E MCBEE AVE, SUITE 108, GREENVILLE, SC 29601-2940
(864) 438-2646
Mailing address
400 E MCBEE AVE, SUITE 108, GREENVILLE, SC 29601-2940
(864) 438-2646
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4272
SC
Other
Enumeration date
02/24/2012
Last updated
02/24/2012
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