Progrin Dental of Boiling Springs LLC

NPI #1063775633 in Inman, South Carolina

Provider Information

NPI Number
1063775633
Entity Type
Organization
Organization Name
Progrin Dental of Boiling Springs LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Jun 19, 2012
Last Updated
Jun 19, 2012

Practice Location

Address
8810 HIGHWAY 9
City
Inman
ZIP Code
29349-8718
Phone
(864) 592-1647

Authorized Official

Name
MR. BRENT ALLEN AYERS
Title
PRESIDENT
Phone
(864) 561-7559

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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