Comprehensive and Cosmetic Dental Studio of Greenville
NPI #1164952842 in Greenville, South Carolina
Provider Information
- NPI Number
- 1164952842
- Entity Type
- Organization
- Organization Name
- Comprehensive and Cosmetic Dental Studio of Greenville
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jun 15, 2017
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 644 N MAIN ST STE 111
- City
- Greenville
- State
- South Carolina
- ZIP Code
- 29601-1678
- Phone
- (864) 520-2942
Authorized Official
- Name
- DR. ANDREW BRIAN BULLARD, DMD
- Title
- PRESIDENT
- Phone
- (864) 907-4684
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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